Secret Shopper Recording Form

School ID _____ Business Name ____________________

Date ___________ Business Location __________________

Arrival Time __________ Departure Time __________

1.Did you receive a friendly greeting when you entered the business place? Yes/No
2. Was the business...? Extremely Busy ___ Moderately Busy ___ Slow ___
3. Were employees neatly dressed? Well groomed? Yes/No
4. Was the staff friendly? Helpful? Knowledgeable? Yes/Somewhat/No
5. What did you order/purchase?______________________

6.How long did it take for you to receive your order if purchased ?___________
7. Was your order presented accurately by name? With a description? _____________
8. Please describe the product/service quality __________________

9. Was the area clean? Yes/No

10. Was music playing in the business during your visit? Which type of music? Volume
level? __________________________
11. Was the TV turned on? Which program? ______________________
12. Please describe the overall atmosphere in the area. ________________________
13. Was the business well-stocked? Yes/No
14. Condition of the trash receptacles, if any? __________________
15. Was the restroom well-maintained, if any? __________________
16. Were employees attentive to all customers?________________
17. Miscellaneous comments about the staff. ___________________
18. Did there appear to be a manager on duty? Yes/No
19. Upon exiting the business, were you thanked and asked to return? Yes/No
20. Using a 5-point scale where “1” means “not at all satisfied” and “5” means “very
satisfied,” please rate your overall satisfaction or dissatisfaction with your visit.
________________
21. Why did you rate the business as you did? __________________________
22. Would you recommend the business to others? Why or why not? __________________