Products in Your Local Walmart Moms Feedback

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1. Please enter your location information below.

Please enter your location information below.   City/Town:

State:

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2. How often do you shop at Walmart?

How often do you shop at Walmart?   1 Time per Week 2 Times per Week 3 Times per Week 4 Times per Week Over 5 Times per Week

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3. How satisfied are you with your overall Walmart shopping experience?

	Not Satisfied			Somewhat Satisfied			Very Satisfied
Satisfaction	*How satisfied are you with your overall Walmart shopping experience? Satisfaction Not Satisfied	Satisfaction	Satisfaction	Satisfaction Somewhat Satisfied	Satisfaction	Satisfaction	Satisfaction Very Satisfied

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4. How satisfied are you with your Walmart grocery shopping experience?

	Not Satisfied			Somewhat Satisfied			Very Satisfied
Satisfaction	*How satisfied are you with your Walmart grocery shopping experience? Satisfaction Not Satisfied	Satisfaction	Satisfaction	Satisfaction Somewhat Satisfied	Satisfaction	Satisfaction	Satisfaction Very Satisfied

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5. How satisfied are you with the product selection at Walmart?

	Not Satisfied			Somewhat Satisfied			Very Satisfied
Satisfaction	*How satisfied are you with the product selection at Walmart? Satisfaction Not Satisfied	Satisfaction	Satisfaction	Satisfaction Somewhat Satisfied	Satisfaction	Satisfaction	Satisfaction Very Satisfied

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6. Have you noticed a change in the products we carry in our stores?

Have you noticed a change in the products we carry in our stores?   Yes No

If yes, please explain further.

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7. If you have a favorite product or products that we currently don’t carry at your local store, please provide us with as much information about it as possible (for example – brand name, size, upc, product description).

If you have a favorite product or products that we currently don’t carry at your local store, please provide us with as much information about it as possible (for example – brand name, size, upc, product description).