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 outside cleanliness overall *

Clean sidewalks, windows, doors, etc.

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the window displays *

Are they clean, fresh, and attractive?

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 store well-organized and easy to shop? *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the check-out counter cleanliness and attractiveness *

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 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 your conversation with the employees *

Did they thank you at the end of the conversation?

1 - poor 

3 - fair

5 -  great

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 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 attractiveness of the merchandise displays *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the business having items in stock that would fill your needs and desires *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the freshness of the merchandise *

Was it fresh, inviting, and current (not outdated or stale)

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Was everything fairly priced with easy-to-find tags? *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Rate the pricing of items at the store *

Do you think everything was adequately priced for the value?

1 - poor 

3 - fair

5 -  great

1

2

3

4

5

Rate the overall opinion on the merchandise *

1 - poor

3 - fair

5 - great

Enter required value 1 2 3 4 5

Please share any additional comments on the merchandise, if any

Rate your overall shopping 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.

20MB max