Survey Clegherns Customer Survey Instore InformationSexFemale AloneMale AloneCoupleFamilyMultipleAge15-1920-2930-4445-5960+Time of Interview8:00 - 11:001:00 - 3:003:00 - 6:006:00 - 9:009:00 - ClosingDay of InterviewThursdayFridaySaturdaySundayMondayTuesdayWednesdayEmpl123Questions1. Hello, I'm ____________________. We are doing a survey and I'd like to ask you a few questions.2. How much was your purchase today?3. How often do you generally shop in THIS store?More than once a week.Once a week.Three times per month.Twice a month.Once a month.Less than once per month.First Time.4 At which ONE location have you spent most of your money during the past 4 weeks? - Do not read list. Record answer below.Do not read list. Record answer below.KrogerWalmartPublixAldiSam's ClubHome Town IGASave A LotDollar General MarketDollar GeneralFood Lion5. At which OTHER supermarkets have you shopped within the past 4 weeks?Probe. Do not read list.KrogerWalmartPublixAldiSam's ClubHome Town IGASave A LotDollar General MarketDollar GeneralFood Lion6. What do you like about this store?Probe twice. Record answer below.Convenience - HomeConvenience - Work/OtherPriceSelection/VarietyQualityAds/SalesProduce PriceProduce QualityProduce SelectionMeat PriceMeat QualityMeat SelectionBakery/Baked GoodsDeliCarryout/BaggingCheckout Speed/AccuracyPersonnelHoursFamiliar/HabitClean/HousekeepingDouble Coupons/Trading StampsStore Size/AislesDon't Know/Nothing7. What improvements would you like to see in this store? Don't hesitate to be critical. Criticism can help us.Probe Twice. Record answers below.Convenience - HomeConvenience - Work/OtherPriceSelection/VarietyQualityAds/SalesProduce PriceProduce QualityProduce SelectionMeat PriceMeat QualityMeat SelectionBakery/Baked GoodsDeliCarryout/BaggingCheckout Speed/AccuracyPersonnelHoursFamiliar/HabitClean/HousekeepingDouble Coupons/Trading StampsStore Size/AislesDon't Know/Nothing8. What are the main reasons you shop at ______________? (Competitor)Check which store is the competitor for above question. Record answer below.Convenience - HomeConvenience - Work/OtherPriceSelection/VarietyQualityAds/SalesProduce PriceProduce QualityProduce SelectionMeat PriceMeat QualityMeat SelectionBakery/Baked GoodsDeliCarryout/BaggingCheckout Speed/AccuracyPersonnelHoursFamiliar/HabitClean/HousekeepingDouble Coupons/Trading StampsStore Size/AislesDon't Know/Nothing9. How many persons are living in your household, including yourself?10. What is the total weekly amount you and your household spends at all food stores?11. What city do you live in?12. What street do you live on?13. What street corner is nearest your home?14. Do you like Cost Plus (+) stores?YesNoDon't KnowNameThis field is for validation purposes and should be left unchanged.
