At Double Kwik your Total Satisfaction is our pledge. 
If you're not satisfied - or if you are - we want to know.

HOW ARE WE DOING?

Your opinion is important.  Your Total Satisfaction is always top priority.  Please take a moment to fill out this response form and let us know how we are doing.  Please be sure to include your email address in order that senior management can properly respond to your comments and/or suggestions.  However, if you wish to remain anonymous please fell free to do so.

Store Visited
Date of Visit
Time of Visit

Service

 Excellent Good Poor
Cashier courtesy and appearance
Store cleanliness
Promptness of service
Store appearance

Merchandise

 Excellent Good Poor
Product offerings
Merchandise displays
Competitiveness of everyday prices
Competitiveness of sale prices

WHAT CAN WE DO BETTER?

General Comments

We would also like to provide you with special discounts for filling out our survey.  We promise that your information will be kept confidential and will not be distributed or sold to any third party.  This information is NOT required, but we would appreciate the additional information so that we may better serve you.  Thank You for Shopping with Double Kwik!!!!
Name
Company
Address
City
State
ZIP Code
Telephone
Fax
E-mail

Last revised: January 04, 2007

     © 2007 Double Kwik, a Barnette Enterprises, Inc. Company    
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