Shop! Prime Shine

 

 



 

Please take a few moments to tell us how we did.
Remember all items that have a highlighted title are required.

GENERAL INFO - STEP 1
 
Survey For
Car Wash Lube
Sales Receipt #
 (Must be 11 Digits)
Name

Phone Number
Address
City
State
Zip Code
Email Address
Gender
Male Female
Age
16-25 26-35 36-50 Over 50
 
VEHICLE INFO - STEP 2
   
Make of Car

(example: Toyota)
Model of Car

(example: Camry)
Year of Car
   
QUESTIONNAIRE - STEP 3
How far do you drive to go to a Prime Shine Express location?
This survey refers to which location?
Cashier Name

Date of visit

Time of visit

AM

PM
Is this your first time through a Prime Shine Express?
Yes No
What is the number one reason for coming to Prime Shine Express?
Other
How did you first hear about Prime Shine Express?
Other
Excellent Good Average Poor N/A
Cleanliness of the facility:
Appearance of employees:
Attitude of employees:
Performance of vacuum:
Cleanliness of car:
Cleanliness of car's windows:
Cleanliness of car's wheels:
Effectiveness of spot free rinse:
Speed of Lube Service:
Quality of Lube Service:
Knowledge of Lube Techs
What do you remember most about your visit to Prime Shine?
How could we improve the service that we provide to you?