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* 1. How long have you been a customer of Langenstein’s?

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* 2. My main Langenstein’s location is at

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* 3. What other Langenstein’s locations have you visited?

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* 4. How far would you travel for a grocery store?

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* 5. How much do you spend weekly on groceries?

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* 6. How  many visits do you make to a grocery store a month?

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* 7. What do you find most attractive about Langenstein’s (check all that apply)?

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* 8. What do you find least attractive about Langenstein’s (check all that apply)?

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* 9. How do you compare the value we provide in comparison to other grocery stores in the area?

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* 10. Would you be interested in seeing self checkout services at Langenstein’s?

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* 11. What other stores do you visit and why (please fill in space provided for those you visit)?

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* 12. Does sales/promotions impact your decision to shop at Langenstein’s?

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* 13. What are opportunities for improvement for Langenstein’s?

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* 14. What television stations do you watch regularly?

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* 15. How do you listen to the radio/music?

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* 16. Would you/have you recommended Langenstein's to others?

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* 17. What is your gender?

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* 18. What is your age?

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* 19. What is the zip code of your primary residence?

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* 20. Please provide any additional comments that you would like to send to Langenstein’s that might not have been addressed above.

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* 21. If you would like to be added to our email list to stay current on weekly specials and news from Langenstein’s, please provide your email address.

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