Can I See a Sample?

Each time you go on a Mystery Shopping Trip, you will use a form designed by the store or business establishment.  This is only a sample.

BUSINESS (Store) NAME: 
ADDRESS:
MYSTERY SHOPPER'S NAME:
DATE AND TIME OF SHOPPING EXPERIENCE

Was store clean and neat?                                        

Was lobby/waiting area clean?

Was your presence acknowledged
within a short time of arrival?

Were you greeted in a friendly manner?

Were employee's dressed professional?

Did they offer to assist you with problems?

Were they courteous?

Did they know their products well?

Were the dressing rooms clean?

Did they thank you for shopping with us?

In the space provided below,  please give a summary of your shopping experience.

How do you rate this establishment? 

Excellent
Good
Fair
Poor

Based on your experience, would you shop at this location again in the future?

Your signature      Date Submitted