EmailMe Form - Water and Ice Survey

Name (optional)

First Last

Phone (optional)

### - ### - ####

This is used to follow up with any issues you may have had with Water and Ice.

Email (optional)

This is used to follow up with any issues you may have had with Water and Ice.

Confirm

If you did not purchase a product, please skip this section.

Did you purchase 1 or more items from the store?

Yes

No

I came in to ask a question.

If you did not purchase anything, you may skip this section.

What product(s) did you purchase?

List all the products you purchased during your visit.

Were you satisfied with the product(s) you purchased?

Yes

No

Would you recommend this product(s) to a friend or family member?

Yes

No

Please give us your feedback on the product(s) you purchased. Be as thorough as you like.

Please answer the following questions so that we can better serve you.

Were you greeted?

Yes

No

I do not remember.

Evaluate the following statements.

	Strongly Disagree	Disagree	Agree	Strongly Agree
The store was clean.	1	2	3	4
The clerk(s) were sincere and cared about my needs.	1	2	3	4
The customer service was great.	1	2	3	4
I was serviced in a timely manner.	1	2	3	4
I would recommend Water and Ice on Val Vista and Guadalupe to a friend or family member.	1	2	3	4
I would be happy to come back.	1	2	3	4