Satisfaction Survey, So you visited one of our stores 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. Please complete this form, and be sure to enter the required fields at the end of this survey, if not this survey will not be submitted. All boxes with an * denote a required field.

If this was your first visit to Beiter's, How did you learn about Us?
	Friend  Relative  Neighbor  Radio	TV  Newspaper Ad  Sales Flyer  Website
If this was not your first visit to Beiter's, approximately how many times have you purchased something from Beiter's?
	1-3  4-6	7-10  10+
Which Beiter's location did you shop at?
	South Williamsport  Lock Haven	Sunbury  Mansfield
Do you live within 25 miles of that location?
	Yes	No
Do you feel that our store is conveniently located?
	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 impressed were you with the cleanliness of our store?
	Very impressed  Somewhat impressed	Not impressed at all
Were you greeted warmly when you entered our store?
	Yes	No
Did you comparison shop before visiting Beiter's?
	Yes	No
If so, how do you feel Beiter's prices compared to other retailers?
	Higher  Lower	About the Same
I was shopping for...
	Appliances  Electronics	Furniture  Bedding
How would you rate Beiter's selection of products?
	Excellent  Very Good  Fair	Poor  Not Applicable
Did you find what you were looking for?
	Yes	No
The process of finalizing my sale was...
	Quick & Easy  Difficult & Time-Consuming	Not-Applicable
Did you apply for a Beiter's Credit Card?
	Yes	No
The process of applying for a Beiter's credit card was...
	Quick & Easy  Difficult & Time-Consuming	Not-Applicable  Already Had One
Overall, how would you rate your shopping experience at Beiter's?
	Excellent  Very Good  Fair	Poor  Not Applicable
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
Do you remember their name(s)?
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 "Surf the Net"?
	Yes	No
Do you CONSIDER YOURSELF A BARGAIN SHOPPER OR AN IMPULSE BUYER?
	Bargain Shopper  Impulse Buyer	Depends
Your Name:		Your Address:
*		*
Your Phone#:		Your Email Address:
*		*