QUALITY CONTROL AGENT SURVEY FORM – RETAIL STORE

305 Sherbrooke St W, Montreal,Quebec,H2X

Store Name PJC Jean Coutu Address 1Y1
Day & Date of Visit Tuesday, June 30 Time of Visit 2:10 pm
Name or Description of Store Clerk NA

Store Appearance
1. Was the store’s outside appearance attractive – 1 2 3 4 5
Needs Imp. Good Excellent
Did the store have curb appeal? 5

2. Was the window display inviting and attractive? 4 1 2 3 4 5

Needs Imp. Good Excellent

3. Did the outside appear to be clean – clear sidewalks, 1 2 3 4 5

clean windows and doors, etc.? 4 Needs Imp. Good Excellent

4. Was the store’s inside clean and attractive? 5 1 2 3 4 5

Needs Imp. Good Excellent

5. Was the store easy to shop and well-organized? 5

1 2 3 4 5
Needs Imp. Good Excellent
6. How did you feel about the overall appearance of the
store? 5 1 2 3 4 5
Needs Imp. Good Excellent
Comments:
Jean Coutu is well organized and the ambience is pristine.

Store Clerk 1 2 3 4 5
1. Were you promptly greeted? 4 Needs Imp. Good Excellent

2. Was the greeting friendly & professional? 4 1 2 3 4 5

Needs Imp. Good Excellent

3. If not immediately greeted, was the store

clerk
a. on the phone
b. talking with staff
 c. on the computer
d. helping another customer
e. no one present No one present
f. other
If the store clerk was occupied, did the store clerk let you know that he/she would be
right with you? Y Yes No

4. Did the store clerk ask good questions to find out what 1 2 3 4 5
Needs Imp. Good Excellent
you were looking for? 5

5. Was the store clerk knowledgeable about the 1 2 3 4 5

Needs Imp. Good Excellent
merchandise? 5
1 2 3 4 5
6. Was the employee’s appearance appropriate to the nature Needs Imp. Good Excellent
of the store? 5

7. Was the checkout experience positive? 5 1 2 3 4 5

Needs Imp. Good Excellent

8. Did the store clerk thank you upon completion of your 1 2 3 4 5

purchase? 4 Needs Imp. Good Excellent

9. What was your overall experience with the staff in the 1 2 3 4 5

Needs Imp. Good Excellent
store? 4

Comments:
The staff were taking safety precautions and were wearing masks and gloves all the time.

Merchandise
1 2 3 4 5
1. How would you rate your first impression of the store? 5 Needs Imp. Good Excellent

2. Was the store merchandise arranged in an orderly & neat 1 2 3 4 5

Needs Imp. Good Excellent
manner? 5
1 2 3 4 5
3. Was the merchandise fresh & inviting? 5 Needs Imp. Good Excellent

4. Was product priced and easy to read? 5 1 2 3 4 5

Needs Imp. Good Excellent

5. What is your overall opinion of the merchandise

selection? 5 1 2 3 4 5
Needs Imp. Good Excellent
Merchandise (cont.)

Comments:
Things were arranged properly and were easy to identify. Also, the stock was full.

Was the overall shopping experience enjoyable, leaving you 1 2 3 4 5

Needs Imp. Good Excellent
with a desire to return? 5

Miscellaneous
1. If the merchant did not have a desired product, did he/she refer you to another merchant?
Yes No NAN/A

2. Were Business Directories clearly visible? YYes No

N/A

3. What was your total dollars spent? $4.92

4. Were the stores hours convenient to shop? Y Yes No

Additional Comments: