Pan Arab Research Center   Language:
 
 
 
     
  PROJECT : ELARA - (C-Store)  
     
 
Adnoc    Eppco - Enoc   Emarat
 
     
 
   Shopper ID : Serial No:  
  Staff Info     Operator Code:  
  CSA Name   CSA Number  
  Gender : Emirate :
  Height : Site ID : (936-Market-Shk.Zayed Rd)
  Built : # of Staff :
  Spectacles : Date :     (dd-mm-yyyy)
  Beard : Amount (Dhs) :
  Mustache :    
        Time In : : ( hh:mm)
  Ethnic Groups : Time Out : :  ( hh:mm)
  Other Ethnic Groups : Time of Visit :
 
     
 
   1. INTERIOR
  Scores  Critical Areas Yes No N.A.   
  2
1.

Were the automatic doors colsed and the door and side glass push / pull bars or

handle thresholds working in good order ?
   
  3
2a. Were doors and windows free of fingerprints ?
   
 
2b. Were doors and windows free of smudges, spots and streaks ?
   
 
2c. Were doors and windows clean without a hazy film (condensation due to climate or temperature may be present)
   
  2
3a. Were advertising material, Pictures and menu strips on menu board faded ?
   
 
3b. Were advertising material, Pictures and menu strips on menu board torn ?
   
 
3c. Were advertising material, Pictures and menu strips on menu board smudged ?
   
  5
4a. Were counters, display cases, self-service areas and dispensers clean ?
   
 
4b. Were counters, display cases, self-service areas and dispensers neat and well stacked ?
(Should be uncluttered and without excessive amounts of products)
   
  5
5. Was there any smell of rotten stuff?
   
  3
6. Were there any  flies visible in the store or in the eating area?
   
  2
7. Were Lights and light fixtures functioning properly and unbroken including ones on menu boards?
(Specify location in comments)
   
  6
8. Was the expiry date mentioned on perishable food items (sandwiches, breads, cakes, salads  etc…) 
within the validity period?
   
  2
9. Were tables and chairs well maintained and unbroken?
 
  2
10. Was the temperature reasonably comfortable?
   
  2
11. Were door mats in good condition?
 
  2
12. Were lights turned on at dusk or sunset and during bad weather?
 
  3
13. Were trash / Grease containers clean and dumpster Lids closed?
   
             
 
     
 
   2. GREETINGS
  Scores  Critical Areas Yes No N.A.   
  6
14. Were you greeted with a smile when you entered the store?
   
  3
15. Did they request customers to quit smoking?
 
  6
16. Did he thank you as you were leaving?
   
             
 
     
 
   3. APPEARANCE AND BEHAVIOR OF STAFF
  Scores  Critical Areas Yes No N.A.   
  5
17. Was the staff presentable and well groomed?
   
  4
18. Was he / she able to communicate  to customer?
   
  3
19. Was the staff wearing visible nametag?
   
  5
20. Was staff courteous / friendly?
   
             
 
     
 
   4. SERVICE
  Scores  Critical Areas Yes No N.A.   
  3
21. Were the items and ingredients you ordered available for purchase?
 
  6
22. Did the staff scan all the purchased items?
 
  4
23. Did the staff place food and nonfood item in a separate carry bags?
 
  5
24. Were you charged the correct amount?
   
  6
25. Were you offered a receipt voluntarily?
   
  5
26. Were you given the correct change?
 
             
 
     
     
 
   Attach Bills
 
     
     
  File # 1 PDF Questionnaire
     
   
     
   
     
  
             
 
     
 
   COMMENTS
    
             
   
             
 
     
 
    
      
             
 
     
     
 
     
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