Chai Station Services Pvt. Ltd.

Rgd. Off.: 3rd Floor, Office No 22,

Amatya Tower, Dabholkar Corner,
Kolhapur MH- 416003 IN
Contact: (+91) 231- 2520909 / 8565090909
E: info@chaistation.in W: www.chaistation.in

Certified- ISO 22000:2018 | ISO 9001:2015 FSAAI No.- 11520042000268 GST IN- 27AAICC5371K1ZB

Survey Form

FORM NO: Date: / / 20

Enquiry Form No: ……………………………

Franchise Name: …………...……………………………………………………………….…………………………….

Contact Number: …...……………………………………… WhatsApp No. ……………….…………………………...

Outlet / Site Address: ………………………………………….………………………………………………………….

……………………………………Tal: …………………………………………........ Dist.: ………………………….…

Pin code: ………………………. State: ………………….……………………… Country: …….………………………

Outlet Size: Width: ……….…………… Height: ………………………………… Length: …………………………….

Civil Details: ……………………………………………………………………………………………………………….

Survey Based On:

1. Number of Tea / Chai Outlets exiting in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

2. Average Time of Opening and Closing of the Outlets in that surrounding area 500 mtr.

…………………………………………………………………………………………………………………..

3. Each Outlet Tea / Chai number of cup daily sale

……………………………………………………………………………………………………………………..

4. Average Tea / Chai cup (ml) capacity

……………………………………………………………………………………………………………………..

5. Average rate of Tea / Chai per cup

……………………………………………………………………………………………………………………..

6. Number of Coffee Outlets exiting in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

7. Each Outlet Coffee number of cup daily sale

……………………………………………………………………………………………………………………..

8. Average Coffee cup (ml) capacity

……………………………………………………………………………………………………………………..
 9. Average rate of Hot Coffee / Cold Coffee per cup

……………………………………………………………………………………………………………………..

10. Number of Hotels in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

11. Number of Restaurants in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

12. Number of Pan Shops in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

13. Number of Fast Food Cafes in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

14. Snacks served with Tea / Chai / Coffee

…………………………………………………………………………………………………………………..

15. Number of Tea & Coffee good brand Outlets running in that surrounding area 500 mtr.

……………………………………………………………………………………………………………………..

Employee Name: ………………………………………………………… Designation ………………………………….

(Day 1: Survey Time in Morning from 6:00 AM to 12:00 PM) (Day 2: Survey Time in Evening from 3:00 PM to 10:00 PM)

Day 1 Day 2
Day:    (e.g. Monday) Day:   (e.g. Monday)
Date:  (mm / dd / yyyy) Date:    (mm / dd / yyyy)

In Time:    (hr : min AM / PM) In Time:     (hr : min AM / PM)

Out Time:     (hr : min AM / PM) Out Time:     (hr : min AM / PM)

Remark: Remark:

Sign: Sign:

Overall Review: ……………………………………………………………………………………………………………….

…………………………………………………………………………….. Sign: ………………………………………....

Franchise Enquiry Person Name: ………………………………………………………… Sign: ………………………....

CEO: Director:
Remark: ………………………………………………… Remark: ………………………………………………………

…………………………………………………………… ………………………………………………………………...

Date: ……………………………. Date: …………………………….

Sign: ……………………………. Sign: …………………………….