Customer Feedback Form


First Name     Last Name  
Date of Visit     Invoice #  
Reason for coming to the store:
Purchased:              Accessories      # of phone(s)      Wireless Internet      Wireless TV
Looking to purchase: Accessories      # of phone(s)      Wireless Internet      Wireless TV

Store:
On a scale of 1-10
1
2
3
4
5
6
7
8
9
10
Was the store professional looking?
Was the staff friendly and welcoming?
Were you welcomed to the store?
Would you recommend that location?
How would you rate your overall experience?

Wireless Consultant:
On a scale of 1-10
1
2
3
4
5
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7
8
9
10
Did the Wireless Consultant answer all your questions?
Did the Wireless Consultant seem knowledgeable
about the products?
Did the Wireless Consultant complete your transaction
in a timely manner?
Did the Wireless Consultant impress you?
On an overall scale how would you rate your sales rep?


Over all, how long did you wait to be helped?
Instantly   5-10 minutes  15-30 minutes  31-45 minutes  Had to set an appointment at a later date
 

Over all, how long were you there from the time you walked in to the time you left?
10-20 minutes   21-30 minutes  31-45 minutes  1 hour  2 hours  More than 2 hours
 

Did our Wireless Consultant offer you to "Go All Wireless"? Yes   No  Can't remember
Our new theme is Go All Wireless
* Wireless Phones from Sprint
* Wireless TV from Dish Network or Direct TV
* Wireless Internet from Sprint Internet
 

You should receive a 2 week checkup phone call from your Wireless Consultant. In the event you are filling this form out after 2 weeks, how would you rate the checkup?
Helpful   Not helpful  Not been 2 weeks  Did not receive a call
 

To ensure we make every effort to continually improve the customer experience, any additional feedback is appreciated.