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* 1. Date of Visit:

Date

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* 2. How often do you SHOP at Goodwill?

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* 3. How often do you DONATE to Goodwill?

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* 4. Store location:

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* 5. How would you rate your shopping experience?

  Very unsatisfied Somewhat unsatisfied Adequate Satisfied Very satisfied N/A
Cleanliness and organization
Overall Customer Service
Quality and selection of merchandise

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* 6. Would you recommend shopping at Goodwill to a friend?

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* 7. Do you know how your purchases help Goodwill serve the community?

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* 8. What is one thing we can do better to serve your shopping needs?

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* 9. Additional Comments:

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* 10. Please enter your contact information so we may follow up on your experience.

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