Customer Satisfaction Survey

Thank you for shopping at the Paint Shop! Please help us serve you better by taking a couple of minutes to tell us about your experience. At the Paint Shop, we are committed to exceeding your expectations. Your feedback will be used to continue to improve the products and services that we offer. At the end of this survey, you can enter our quarterly draw for a $100 Paint Shop gift card!

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* 1. Are you male or female?

Male

Female

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* 2. What is your age?

19 or younger

20-29

30-39

40-49

50-59

60 or older

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* 3. Please choose the Paint Shop location that you recently visited:

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* 4. If available from your receipt, please enter the slip #:

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* 5. Please enter the date that you shopped at the Paint Shop, as indicated on your receipt:

Date of visit:

Date

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* 6. During your most recent visit to the Paint Shop, what were you shopping for? (Choose all that apply)

Paint

Flooring

Window Coverings

Interior Decorating Services

Other (please specify)

33% of survey complete.