Language:
English
عربي
PROJECT : ELARA - (Forecourt)
Adnoc
Eppco - Enoc
Emarat
Shopper ID
:
Serial No:
:
Staff Info
Operator Code:
:
CSA Name
CSA Number
Gender
:
Male
Female
Emirate
:
Height
:
Tall
Medium
Small
Site ID
:
(951 - BANIYAS (SOUTH))
Built
:
T
M
F
# of Staff
:
Spectacles
:
Yes
No
Date
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2011
2012
(dd-mm-yyyy)
Beard
:
Yes
No
Amount (Dhs)
:
Mustache
:
Yes
No
# of Vehicles
:
Time In
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
( hh:mm)
Ethnic Groups
:
Indian
Pakistan
Philipino
Expat Arabs
Others
Time Out
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
( hh:mm)
Other Ethnic Groups
:
Time of Visit
:
1. APPROACH
Scores
Critical Areas
Yes
No
N.A.
N.A.
1.
Was signage visible from distance of 500 meters and well maintained? Can be included only in first run
2
2.
Were lights working and in good condition at the approach?
2
3.
Were the lights working and in good condition at the forecourt area?
4
4.
Was filling area / forecourt clean and tidy?
2
5.
Were the driveway and forecourt free of potholes and well maintained?
2. GREETINGS
Scores
Critical Areas
Yes
No
N.A.
5
6.
Was there any delay in approaching customers at the fuel pump
5
7.
Did the staff approach the driver side of the vehicle?
approched at passenger side
5
8.
Were you greeted in a friendly manner (pleasant feeling)?
If no, please describe behavior: Was it arrogant, without any expression, normal etc….
No expressions ,just stood quietly
4
9.
Did they request customers to quit smoking?
5
10.
Did the staff thank you as you were leaving?
3. APPEARANCE AND BEHAVIOR OF STAFF
Scores
Critical Areas
Yes
No
N.A.
5
11.
Was the filling staff presentable and well groomed?
4
12.
Was he able to communicate with customer?
5
13.
Was the attendant wearing visible nametag?
not visible the name
6
14.
Was staff courteous / friendly?
4. SERVICE
Scores
Critical Areas
Yes
No
N.A.
3
15.
Did he follow the instructions on the Rahal (Fuel Card)?
3
16.
Did he confirm and repeat amount and type of fuel?
2
17.
Did he fuel as per customer’s instructions - Dhs?
2
18.
Did he offer to clean windscreen voluntarily? (front & back)
2
19.
Were you charged the correct amount?
2
20.
Were you given correct change?
2
21.
Did he provide information about any promotions at Service Station? (only in case of active promotion)
5. REST ROOMS
Scores
Critical Areas
Yes
No
N.A.
3
22.
Were Adequately stocked with all necessary supplies such as soap, toilet tissue, and paper towels (paper towels are not required where fully operational hand dryers exist)?
3
23.
Were sinks, mirrors hand dryers dispensers toilets and urinals clean?
2
24.
Were doors walls, ceiling vents floors baseboards and grout clean?
2
25.
Were Trash containers clean and not overflowing?
2
26.
Was the restroom smelling clean & fresh (without any offensive odor) ?
2
27.
Were all the facilities inside the restroom in good working condition ?
2
28.
Was the Mosque premises clean ?
Attach Bills
File # 1
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COMMENTS
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