Shopper Survey 1. Question Title * 1. Date of Visit: (Required.) Date of Visit: Date Question Title * 2. How often do you SHOP at Goodwill? less than once per month 1 to 5 times per month more than 5 times per month Other (please specify) Question Title * 3. How often do you DONATE to Goodwill? less than once per year once per month 1-6 times per year Other (please specify) Question Title * 4. Store location: (Required.) Store #011 - 1235 S Eugene St, Greensboro Store #012 - 6525 Jordan Rd., Ramseur Store #013 - 2320 Maple Ave, Burlington Store #014 - 3519 N Elm St, Greensboro Store #015 - 841 S. Main St, Graham Store #016 - 10102-G S Main St, Archdale Store #017 - 3739-A Gate City Blvd., Greensboro Store #018 - 1064 E Dixie Dr, Asheboro Store #020 - 6625 NC HWY 135, Mayodan Store #021 - 1551 Freeway Dr, Reidsville Store #022 - 3921 Battleground Ave, Greensboro Store #023 - 598 Deerfield Tr, Mebane Store #024 - 5301 Samet Dr, High Point Store #025 - 303 E Arbor Ln, Eden Store #026 - 101 Pointe South Dr, Randleman Store #028 - 2246 NC Hwy 86 N, Yanceyville Store #029 - 4808 W. Market St, Greensboro Store #030 - Triad Goodwill Outlet/Pound Store - 1235 South Eugene St, Greensboro Store #032 - 954-J Golf House Road West, Whitsett Store #033 - 3740 S. Church Street, Burlington Store #034 - 2205-A Oak Ridge Commons, Oak Ridge Store #035 - 4835 W. Wendover Ave, Jamestown Store #036 - 4634 E Hicone Road, Greensboro Store #037 - 2415 B Lawndale Dr, Greensboro Store # 038 - 2012 N. Main St., High Point Other (please specify) Question Title * 5. How would you rate your shopping experience? Very unsatisfied Somewhat unsatisfied Adequate Satisfied Very satisfied N/A Cleanliness and organization Cleanliness and organization Very unsatisfied Cleanliness and organization Somewhat unsatisfied Cleanliness and organization Adequate Cleanliness and organization Satisfied Cleanliness and organization Very satisfied Cleanliness and organization N/A Overall Customer Service Overall Customer Service Very unsatisfied Overall Customer Service Somewhat unsatisfied Overall Customer Service Adequate Overall Customer Service Satisfied Overall Customer Service Very satisfied Overall Customer Service N/A Quality and selection of merchandise Quality and selection of merchandise Very unsatisfied Quality and selection of merchandise Somewhat unsatisfied Quality and selection of merchandise Adequate Quality and selection of merchandise Satisfied Quality and selection of merchandise Very satisfied Quality and selection of merchandise N/A Other (please specify) Question Title * 6. Would you recommend shopping at Goodwill to a friend? Yes No Question Title * 7. Do you know how your purchases help Goodwill serve the community? Yes No Question Title * 8. What is one thing we can do better to serve your shopping needs? Question Title * 9. Additional Comments: Question Title * 10. Please enter your contact information so we may follow up on your experience. Name Email Address Phone Number Done