ATCQ APMEA

ATCQ Visit Identifiers

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* Evaluator

If name not found in list, select "Other" above and provide the name in the text box below. The addition will appear in the drop down in the next monthly reporting cycle.

ATCQ Respondent Identification

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* Country

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* Supplier:

Store Visit Identification

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* State/Province/Prefecture of Store's Location (Thailand-Central: Ang Thong through Vietnam-Yen Bai)

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*
State/Province/Prefecture of Store's Location ( Australia-Australian Capital Territory through Tawiwan-Yunlin County)

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* Store Visit Date/Time:

Date / Time

Date

Time

AM/PM

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* Type of Visit

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* List of items purchased:

Overall Visit Observations

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* Was your order correct?

Yes

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* What was wrong with your order? Reply with N/A if order was correct.

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* Did the receipt match the order exactly?

Yes

Did not receive receipt

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* Did you receive packaging with Nutritional Information Graphics or a Nutritional Information Panel (NIP)?

Yes

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* Did packaging have illegible nutritional information or Nutritional Information Panel (NIP)? Please return such packaging to HAVI Global Solutions.

Yes

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* Evaluator

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* Country

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* Supplier:

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* State/Province/Prefecture of Store's Location (Thailand-Central: Ang Thong through Vietnam-Yen Bai)

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* State/Province/Prefecture of Store's Location ( Australia-Australian Capital Territory through Tawiwan-Yunlin County)

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* Store Visit Date/Time:

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* Type of Visit

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* List of items purchased:

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* Was your order correct?

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* What was wrong with your order? Reply with N/A if order was correct.

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* Did the receipt match the order exactly?

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* Did you receive packaging with Nutritional Information Graphics or a Nutritional Information Panel (NIP)?

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* Did packaging have illegible nutritional information or Nutritional Information Panel (NIP)? Please return such packaging to HAVI Global Solutions.

*
State/Province/Prefecture of Store's Location ( Australia-Australian Capital Territory through Tawiwan-Yunlin County)