SECRET SHOPPER

Name of Secret Shopper *

First Name

Last Name

Date *

MM

DD

YYYY

Arrival Time *

Hour

Minute

Second

AM PM

Departure Time *

Hour

Minute

Second

AM PM

Were you greeted upon entering Allevity? *

Yes

No

Were you thanked upon leaving Allevity? *

Yes

No

Customer Service *

1 (Worst)

2

3

4

5 (Best)

Friendliness *

1 (Worst)

2

3

4

5 (Best)

Helpfulness *

1 (Worst)

2

3

4

5 (Best)

Atmosphere *

1 (Worst)

2

3

4

5 (Best)

Cleanliness *

1 (Worst)

2

3

4

5 (Best)