"Sample Questionnaire"

1. Before entering, Is the open sign noticeable?

Up close
From the end of the block

From across the street

Not noticeable/non-existent

 

2. Is the outside of the business attractive and inviting? Please describe.

Yes
No

 

 

3. Were you acknowledged upon entering the business? How?

Yes
No

 

 

4. Did the atmosphere of the business feel welcoming? Describe.

Yes
No

 

 

5. If the business is a retail shop, please walk around. Are you able to see and reach all of the merchandise? Describe.

Yes
No

 

 

6. Is the display of the merchandise attractive?

Yes
No

 

7. Are the shelves well stocked?

Yes
No

 

8. Are the prices clearly marked?

Yes
No

 

9. Were you asked if you needed help?

Yes
No

 

10. Were the store employees friendly? Knowledgeable? Courteous?

Yes

Somewhat
No not at all.

 

11. If a purchase was made, please describe the customer service of the cashier.

 

12. Were you given a receipt, and was it correct?

Yes and t was correct
Yes and it wasn't correct

No receipt was given

 

13. Were you thanked for shopping at the store?

Yes
No

 

14. If the business is a restaurant, is the set up of the establishment attractive? Describe.

Yes
No

 

 

15. Is the menu clear and attractive?

Yes
No

 

16. If you are ordering food/beverage, are the employees taking your food order helpful and courteous?

Yes
No

 

17. How long did it take to receive your order?

Quickly
Average

Slow

Very Slow

 

18. Was your order correct?

Yes
No

 

19. Were the restaurant employees friendly? Knowledgeable? Courteous?

 

Yes

Somewhat
No not at all.

 

20. How would you rate the cleanliness of the business?

 

Extremely Clean

Somewhat Clean
Not clean at all.

 

21. Please describe your overall experience with this business?

 

22. Would you recommend this place of business to your friends? Why?

Yes
No

 

 

23. As a consumer, would you go back to this place of business to make a purchase, utilize a service or to eat? Why/why not?

Yes
No

 

 

24. Please list any comments or concerns about the business.