Customer Satisfaction Survey

Thank you for choosing United Carpet for all your flooring needs! We appreciate your business and value your opinion. We invite you to take a few minutes to complete this questionnaire about our store, our products, services, and personnel.

Your response will be used to direct the continued efforts of United Carpet towards improving our products and service and meeting our customers' highest expectations.



To qualify for 20 Bonus Air Miles^® reward miles,
ALL the information and questions below must be answered
*denotes required information

Customer information:

Full Name:
Home Address:
City: Prov.: Postal Code: Phone Number: Email:
Gender: Male Female
Age: 20-30 31-40 41-50 51-60 61 or over
Air Miles^® Collector #:

*In which United Carpet store did you make your flooring or window covering purchase?

*Prov.: Choose a Province British Columbia Saskatchewan *City.: Choose a City
*What type of flooring or window coverings did you purchase?:

*What was the reason for your purchase?:

*Invoice Number:
*Date of Purchase:

Questionnaire:

*Please rate the following on a scale of 1 to 5... 1 - being very dissatisfied, 5 - being very satisfied.
(Comments are optional.)

*1. How satisfied were you with the cleanliness and appearance of the store?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*2. How satisfied were you with the assortment and display of products?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*3. Were you treated in a professional and courteous manner by the store personnel?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*4. How satisfied were you with the sales consultant's decorating and product knowledge?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*5. How satisfied were you with the sales consultant's willingness to take the time to ask the right questions, to thoroughly understand your needs and show you a range of options that fit your requirements?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*6. How satisfied were you with the information you received regarding care and maintenance of your new purchase?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*7. How satisfied were you with the way the consumer finance options were explained to you?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*8a. Did you have your new floor or window covering professionally installed?
Yes No

8b. If yes, how satisfied were you with the installer and the installation process?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*9. How happy are you with your flooring or window covering choice? Does it meet your needs and expectations?

Very Unhappy	Unhappy	Somewhat Happy	Happy	Very Happy
1	2	3	4	5

Comments:

*10. How satisfied were you with your overall experience with United Carpet?

Very Dissatisfied	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
1	2	3	4	5

Comments:

*11. How likely are you to return to United Carpet for your next flooring or window covering purchase?

Very Unlikely	Unlikely	Not Sure	Likely	Very Likely
1	2	3	4	5

Comments:

*12. How likely are you to recommend United Carpet to a friend or family member as a great place to shop for your floor fashion?

Very Unlikely	Unlikely	Not Sure	Likely	Very Likely
1	2	3	4	5

Comments:

*13. How did you hear about United Carpet? Please check all that apply.
Flyer Radio Yellow Pages
Referral Newspaper Air Miles^®
Internet Walk in TV
Magazine Repeat Customer Don't Know
Other (please specify):

*14. Did the option to use the Sears Credit Card or to earn Air Miles^® reward miles influence your purchase? Please check all that apply.
Air Miles^®
Sears
None

Information collected on this page will be used by United Carpet and AIR MILES^® only. We do not sell, rent, or lease your information to third parties.