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We value your opinion.

Let us know how we can make our service the best for you. Tell us about your experience with us.

Name (*)

E-mail (*)

Contact Number

Why did you choose to patronize us? can choose more than one.

Location Promotion Service Product Environment Recommended by

Which outlet did you visit?

APPROACH- please rates the reception you are received when you walked into the store.

Acknowledged you with a smile.

Fantastic Great Average Poor

Greeting with a welcoming manner.

Fantastic Great Average Poor

APPEARANCE- please rates the staff appearance

Staff dressing presentation.

Fantastic Great Average Poor

Personal grooming.

Fantastic Great Average Poor

AMBIENCE- please rates the store ambience for environment

Clean and tidy environment.

Fantastic Great Average Poor

Merchandise displayed in a customer-friendly manner.

Fantastic Great Average Poor

ATTITUDE- please rate the staff attitude

Responsiveness of the service staff.

Fantastic Great Average Poor

Made you feel welcomed and comfortable.

Fantastic Great Average Poor

ASSISTANCE- please rate how well you were assisted

Listened carefully to your concern and queries.

Fantastic Great Average Poor

Offered appropriate advice to your concerns.

Fantastic Great Average Poor

Reaffirm the benefits of the product.

Fantastic Great Average Poor

FAREWELL

Thanked you at the end of your visit.

Fantastic Great Average Poor

Advised on after care service.

Fantastic Great Average Poor

Advised when your next eye test / health check is needed.

Fantastic Great Average Poor

ADVOCACY

Will you return to store for your future optical needs?

Yes No

Will you recommend our store to others?

Yes No

Would you like to receive any information from us in future?

Yes No

Any other areas you would like us to improve on? Please comment and write down your suggestion.

Paris Miki Japan
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