Business Name *

Date and time of visit *

Name or brief description of the person who helped you *

Rate the attractiveness of the businesses outside appearance *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the attractiveness of the businesses inside appearance *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the inside cleanliness overall *

Floors, shelving, displays, etc.

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Is the business well-organized and easy to navigate? *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the accessibility of the business building *

Is it handicap accessible? Is the building accommodating?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the atmosphere *

Is their music too loud? Does the building feel crowded?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the overall appearance of the store *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Please share any additional comments on the appearance, if any

Rate your welcome from the employees *

Did you receive a prompt, sincere greeting from the employees? 

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the general friendliness of the staff *

Were they friendly, warm, and engaging when you spoke to them?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the conversation with the employees *

Did they seem attentive and helpful? 

1 - poor 

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate how knowledgeable the staff were *

Either on the merchandise, store, or other special asks.

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the appearance of the employees *

Were they neat and appropriate?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the wait time *

Did you wait a long time for your service? To be greeted by an employee?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the overall experience with the staff at the business *

Did they give you a warm welcome? Were they helpful? Did they thank you for coming in?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Please share any additional comments on the staff, if any

Rate the pricing *

Do you believe the prices were fair, compared to competing businesses?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the quality of value *

Did you feel that the pricing of the services compared equally to the quality received?

Would you consider the service at of good value for the price paid?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Please share any additional comments on the pricing and value, if any

Rate the access of the services *

Was the location easy to find, and hours of operation attainable?

Was it easy to book a service?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

How likely are you to recommend this business to others? *

1 - not likely

3 - possibly

5 - likely

Enter required value 1 2 3 4 5

Rate the uniqueness of the business *

Are there a lot of businesses in town with similar services? Do they differentiate themselves from those businesses?

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate your overall experience *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Overall comments on your experience *

Please review the special asks (if applicable) and answer below

Special asks from the business can be found in the initial email from baccintern@brookingschamber.org.

Please upload a copy of your receipt

Alternatively, you can email to info@brookingschamber.org or drop by our office at 1321 6th Street.

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