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First Name:
Email:

1.  Where do you usually buy groceries?
Walmart
Safeway
King Soopers/Kroger
Albertsons
Other

2.  How much do you spend on groceries each trip?
$0-$25
$26-$50
$50-$100
$100-$200
Over $200

3.  How long do you spend in the store?
10 minutes or less
Between 10-20 minutes
Between 20 minutes and 1 hour
More than 1 hour

4.  How would you rate your experience in the grocery store?
Poor
Average
Above Average
Excellent

5.  How friendly were the employees?
Not at all
Somewhat
Average
Above Average
Extremely

6.  Do you plan to continue shopping there?
No
Yes