Please fill out this questionaire below and click SUBMIT at the bottom and we will compensate you for all of your much appreciated answers. Some questions will not apply to your situation. You can fill this out annoymously, but if you do, we cannot send you a gift certificate. Your information is
NOT
used in any thrid party distribution; we simply wish to know how we are doing.
Store:
---------------
Salem (Lancaster)
Salem (South)
Salem (West)
Keizer
McMinnville
Order Date:
Approx Time:
First Name:
Last Name:
Mailing Adr:
City:
State:
Zip:
Phone:
Email:
When you called us..?
1. How many rings before we picked up the phone?
1
2
3
4
2. How was our tone?
Bad
1
2
3
4
5
6
7
8
9
10
Good
3. Was our employee helpful?
Bad
1
2
3
4
5
6
7
8
9
10
Good
4. Were you given a choice of Honey Wheat Crust?
No
Yes
5. Did we offer any delicious appetizers?
If YES, which Appetizers were mentioned?
No
Yes
Buffalo Wings
Garlic Bread
Garden Salad
Chicken Strips
BBQ Ribs
Potato Poppers
Odd Moe Bread
6. Did it seem busy?
No
Yes
7. If you had a coupon, which one?
8. Did our employee read your order back to you?
No
Yes
9. What time was quoted for your order?
(in minutes)
10. How long have you been ordering from our company?
New
1-3 Months
4-12 Months
1-3 Years
4+ Years
When you picked up your order..?
1. How did the parking lot look?
Bad
1
2
3
4
5
6
7
8
9
10
Good
2. How did the interior of the store look?
Bad
1
2
3
4
5
6
7
8
9
10
Good
3. How many crew members did you see?
1
2
3
4
5
4. Were you greeted promptly?
No
Yes
5. How was the attitude of our crew?
Bad
1
2
3
4
5
6
7
8
9
10
Good
6. Was the store busy?
Bad
1
2
3
4
5
6
7
8
9
10
Good
7. If you used a coupon, did they take it?
No
Yes
8. Did you have to wait?
No
Yes If Yes, How Long?
(in minutes)
9. Was your order correct?
No
Yes
10. Circle what you received:
Parm-Cheese
Peppers
Free 2-Liter Soda
When you had your order delivered..?
1. Was the order delivered as quoted?
No
Yes
2. How was the driver demeanor and attidtude?
Bad
1
2
3
4
5
6
7
8
9
10
Good
3. Did the driver have a car top sign on, lit up?
No
Yes
4. How did the uniform look?
Bad
1
2
3
4
5
6
7
8
9
10
Good
5. If a coupon was used, did the driver collect it?
No
Yes
General Comments
