Customer Satisfaction Survey Template * 1. What's you age? 18-29 30-39 40-49 50-59 60+ OK * 2. How many people do you grocery shop for? 1 2 3-4 5+ OK * 3. How many years have you lived in the Sunset District? I don't live in the Sunset 0-2 Years 3-6 Years 7+ Years OK * 4. How much do you spend weekly on groceries? $0-50 $51-100 $101-200 $201+ OK * 5. How often do you buy prepared food or eat out? (Restaurant, Deli, Work) Almost never A few times a week Daily Multiple times a day OK * 6. Do you observe any of the following diets? Vegetarian Vegan Glueten-Free Paleo None Other (please specify) OK * 7. Where do you do your primary grocery shopping? Safeway Whole Foods Trader Joe's Farmers Market Delivery Service Other (please specify) OK * 8. What food do you look for while grocery shopping? Bulk Foods GMO-Free Produce Pantry Items Prepared Foods Organic Foods Baked Goods Vegan Frozen Meats Dairy Vegetarian Gluten-Free OK * 9. What are the most important factors for you when grocery shopping? Choose 3. Store Location Availability of Parking Price Variety of Food Products Availability of Organic/GMO-Free Food Freshness of Food Availability of Local Food Friendly Atmosphere and Customer Service OK * 10. What changes, improvements, or products would you like to see at Other Avenues? OK DONE