Valued Customer Survey

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2. What Action Car and Truck Accessories Location did you purchase from? (Required.)

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3. What type of vehicle(s) do you own? Check all that apply.

Truck

SUV

Car

Jeep

Mini Van

Crossover

Commercial Van

Classic Car

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4. How long have you been a customer of our company?

This is my first purchase

Less than 6 months

6 months to a year

1 - 2 years

3 or more years

5 or more years

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5. How did you hear about us?

Searching the web

Referral from a friend or family

Saw an advertisement

Heard an advertisement

Tradeshow or car show activity

Phonebook

Referral from a Car Dealer

Other (please specify)

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6. Please indicate the degree to which you agree/disagree with the following statements.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Store location is convenient	Store location is convenient Strongly Disagree	Store location is convenient Disagree	Store location is convenient Neutral	Store location is convenient Agree	Store location is convenient Strongly Agree
Stores layout makes it easy to shop	Stores layout makes it easy to shop Strongly Disagree	Stores layout makes it easy to shop Disagree	Stores layout makes it easy to shop Neutral	Stores layout makes it easy to shop Agree	Stores layout makes it easy to shop Strongly Agree
Store offers a good variety of products	Store offers a good variety of products Strongly Disagree	Store offers a good variety of products Disagree	Store offers a good variety of products Neutral	Store offers a good variety of products Agree	Store offers a good variety of products Strongly Agree
Staff is attentive to your needs	Staff is attentive to your needs Strongly Disagree	Staff is attentive to your needs Disagree	Staff is attentive to your needs Neutral	Staff is attentive to your needs Agree	Staff is attentive to your needs Strongly Agree
Staff is courteous and polite	Staff is courteous and polite Strongly Disagree	Staff is courteous and polite Disagree	Staff is courteous and polite Neutral	Staff is courteous and polite Agree	Staff is courteous and polite Strongly Agree
Showroom & facilities are clean and organized	Showroom & facilities are clean and organized Strongly Disagree	Showroom & facilities are clean and organized Disagree	Showroom & facilities are clean and organized Neutral	Showroom & facilities are clean and organized Agree	Showroom & facilities are clean and organized Strongly Agree

Comment:

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7. If we installed your purchased item, were you satisfied with the installation?

Highly satisfied

Satisfied

Neutral

Dissatisfied

Highly dissatisfied

I didn't get my item installed at an Action location

Comment:

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8. How would you rate your overall level of satisfaction with us?

Highly satisfied

Satisfied

Neutral

Dissatisfied

Highly dissatisfied

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9. How likely are you to continue using our services?

Very likely

Likely

Neutral

Unlikely

Very unlikely

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10. Would you recommend us to a friend, colleague or family member? 0= Not Likely 10= Extremely Likely

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11. What is your gender?

Male

Female

Prefer not to answer

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12. What is your age?

Younger than 18

18 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 or older

Prefer not to answer

13. Click on the location you shopped at below to enter a Google STAR Rating.

WESTERN CANADA

Surrey, BC	Calgary, AB	Victoria, BC	Grande Prairie, AB
Regina, SK	Saskatoon, SK	Winnipeg, MB	Kelowna, BC

WESTERN CANADA...continued

Edmonton West, AB

Edmonton South (Calgary Trail), AB

ONTARIO

ATLANTIC CANADA

Moncton, NB	Dartmouth, NS	Corner Brook, NL	Grand-Falls, NL
Saint John, NB	Fredericton, NB	Charlottetown, PE

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13. Contact Information - include email address to be Enter for a Chance to Win a $250 Action Gift Card. (Required.)

Name *

City/Town

Province

Postal Code

Email Address *

Phone Number

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14. Receive sales and exclusive offer updates to your email monthly!

Great savings! Send them to me via email.

No thanks. Please don't send them to my email.

After you click submit you will be Entered for a Chance to Win a $250 Action Gift Card. One lucky winner is chosen every month. *Limit of 1 survey per household per invoice number.

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* 1. INVOICE # (Required.)

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* 2. What Action Car and Truck Accessories Location did you purchase from? (Required.)

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* 3. What type of vehicle(s) do you own? Check all that apply.

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* 4. How long have you been a customer of our company?

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* 5. How did you hear about us?

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* 6. Please indicate the degree to which you agree/disagree with the following statements.

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* 7. If we installed your purchased item, were you satisfied with the installation?

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* 8. How would you rate your overall level of satisfaction with us?

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* 9. How likely are you to continue using our services?

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* 10. Would you recommend us to a friend, colleague or family member? 0= Not Likely 10= Extremely Likely

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* 11. What is your gender?

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* 12. What is your age?

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* 13. Contact Information - include email address to be Enter for a Chance to Win a $250 Action Gift Card. (Required.)

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* 14. Receive sales and exclusive offer updates to your email monthly!

1. INVOICE # (Required.)

2. What Action Car and Truck Accessories Location did you purchase from? (Required.)

3. What type of vehicle(s) do you own? Check all that apply.

4. How long have you been a customer of our company?

5. How did you hear about us?

6. Please indicate the degree to which you agree/disagree with the following statements.

7. If we installed your purchased item, were you satisfied with the installation?

8. How would you rate your overall level of satisfaction with us?

9. How likely are you to continue using our services?

10. Would you recommend us to a friend, colleague or family member? 0= Not Likely 10= Extremely Likely

11. What is your gender?

12. What is your age?

13. Contact Information - include email address to be Enter for a Chance to Win a $250 Action Gift Card. (Required.)

14. Receive sales and exclusive offer updates to your email monthly!