Satisfaction Survey, So you visited our store and we would like to know a little bit about your visit, if you have a few moments please fill out this form, we would greatly appreciate it.

If this was your first visit to Kliney's, how did you find out about us?
	Friend  Radio  Website	TV  Newspaper Ad  Sales Flyer  Other
If this was not your first visit to Kliney's, approximately how many times have you purchased something from Kliney's?
	1-4  4-6	7-10  10+
Do you live within 25 miles of our store?
	Yes	No
Do you feel that our hours of operation are convenient?
	Yes	No
How impressed were you with the appearance of our store?
	Very impressed  Somewhat impressed	Not impressed at all
How do you feel Kliney's prices are compared to other retailers?
	Higher  Lower	About the Same
Overall, how would you rate your shopping experience at Kliney's?
	Excellent  Very Good  Fair	Poor  Not Applicable
Would you recommend us to a friend?
	Yes	No
The assistance you received by our sales personnel was...
	Excellent  Very Good  Fair	Poor  Not Applicable
The handling of your sale by customer service personnel was...
	Excellent  Very Good  Fair	Poor  Not Applicable
The care of your merchandise by the delivery personnel was...
	Excellent  Very Good  Fair	Poor  Not Applicable
Your service needs after the sale were...
	Excellent  Very Good  Fair	Poor  Not Applicable
A little about yourself:
	Male  Female	18-24  25-35  36-54  54+  Rather not say
Do you consider yourself a bargin shopper or an impulse buyer?
	Bargain Shopper  Impulse Buyer	Depends
Are you currently a home owner or renter?
	Home Owner	Renter
Your Name:		Your Address:
*		*
Your Phone Number:		Your Email Address:
*		*