Customer Satisfaction Questionnaire Templates

June 7, 2011

Customer’s name: ________________________________________________________

Address (optional): ________________________________________________________

How many times in a month do you shop at this supermarket?

1-2: ____________________________________________________________________

3-5: ____________________________________________________________________

6-10: ___________________________________________________________________

10+: ___________________________________________________________________

Would you describe this supermarket as your local supermarket?

________________________________________________________________________

Why?

________________________________________________________________________

Please rate the following aspects about this supermarket using 5-excellent, 4-good, 3-average, 2-poor and 1-very poor.

Location: _______________________________________________________________

Accessibility: ____________________________________________________________

Parking space: ___________________________________________________________

General prices of our goods: ________________________________________________

Variety of food stuffs: _____________________________________________________

Variety of fresh vegetables and fruits: _________________________________________

Variety of health and special diet foods: _______________________________________

Shelf arrangement: ________________________________________________________

How would you describe our staff?

Friendly: ________________________________________________________________

Polite: __________________________________________________________________

Helpful: ________________________________

Competent: __________________________

Professional: __________________________

Rude: _________________________________

Impolite: ________________________________

Disgruntled: ____________________________

Unprofessional: ________________________

Incompetent: _______________________

What is the best thing about this supermarket?

______________

What needs improvement?

_____________________

Please describe an instance where our service was less than satisfactory.

_______________________

Would you recommend this supermarket to others? Why?

________________

Download Customer Satisfaction Questionnaire Templates in Word Format

 

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