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You have a chance to win a Comfort One Shoes gift card worth $500.

Contact Information

First Name :

Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

Comfort One Shoe Club #:

What is the name and description of the associate who assisted you?

What is the location where you shopped?

What is your overall impression of the store's cleanliness?

5 (Exceptional)

4 (Above expectations)

3 (Met expectations)

2 (Below expectations)

1 (Very disppointed)

Was the associate wearing a nametag?

Yes

No

Did the associate greet you within 30 seconds of entering the store?

Yes

No

If No, check one:

Within 31 seconds to 1 minute

Within 1 to 3 minutes

Within 3 to 5 minutes

More than 5 minutes

After 5 minutes I approached someone for assistance

Did the associate appeared well-groomed (Men had on ties, Women dressed professionally)?

Yes

No

If No, check all that apply

Clothing seemed wrinkled

Clothing seemed dirty, stained

Clothing torn, had holes

Shirt was un-tucked

Associate appeared disheveled, unkempt

Did the associate seem interested in your needs?

Yes

No

If no, check all that apply

Seemed rude or abrupt

Seemed rushed or busy

Seemed distracted or indifferent

Seemed unwilling/uninterested in helping me

Did the associate ask specific questions to determine your needs?

Yes

No

Did the associate measure both feet?

Yes

No

When the associate brought out your assortment, did they offer at least 4 other pairs of shoes for you to try on?

Yes

No

If No, how many shoes were offered?

Did the associate bring out insoles and put it in a shoe for you to try?

Yes

No

Did the associate put both shoes on for you?

Yes

No

Did the associate check the fit on every shoe?

Yes

No

Did the associate show you a product that specifically met your needs?

Yes

No

Did the associate clearly explain the features and benefits of the product?

Yes

No

Did the associate know the product well enough to answer your questions or found someone else who could help?

Yes

No

If No, check all that apply

Did not answer my question

Gave vague or confusing answers

Gave inaccurate answers

Did not give enough information

Did not offer to find someone else

During the interaction, the associate attempted to sell you accessories that match your selected item?

Yes

No

Did the associate offer that you become a member of the Shoe Club?

Yes

No

Did the associate hand you your receipt stapled to a thank you card?

Yes

No

Did the associate carry the bag around the counter and put the bag in your hand with the thank you card and receipt?

Yes

No

If No, check all that apply

Bag was not carried around the corner

Bag was not put in hand

Did the associate affirm your decision of the selected items?

Yes

No

What is your overall impression of the customer service you received? Check one

Would you return to Comfort Shoes based on this visit or recommend this location to others?

Yes

No

Why or why not?

Is there anything else we should know?

TICKET #