Your name:
Your email address:
Your Store:
Day of your visit:
Time of your visit:
Very Satisfied
Unsatisfied
 N/A
How did you feel about your visit:
The quality and variety
of the produce:
The quality and variety
of the meat:
The freshness and variety in the
dairy and frozen sections:
The variety in the general
grocery aisles:
The variety of natural
and organic items:
The in-stock availability of
the items you wanted:
The availability and helpfulness
of store personnel if needed:
The ease of moving through
the store (no clutter):
The cleanliness of the store (not
including the restroom):
Very Satisfied
Unsatisfied
 N/A
The time it took to check out (including
the line wait and your transaction):
The friendliness and attitude of the
cashier and checkout personnel:
The quality of bagging by the
cashier or service clerk:
The prices on our sale items:
The prices on our regular non-sale items:
The value for the money
spent on this visit:
Please rate the cleanliness
of the restroom:
Please rate the quality and
variety of Deli counter items:
Please rate the service you
received at the Deli counter:
Comments: