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Feel free to fill out this form and email it to my contact link.  I am interested in your experiences.

 

Any submissions that I receive will become the property of TimList and its owner and may be edited for appropriate language, clarity, content, etc.  Make sure to provide your email so that I can contact you should I have questions.

 

*

1 = Inexcusable
2 = Poor
3 = Fair (nothing to write home about)
4 = Good
5 = Amazing

Date- 00/00/0000
Company- Company Name
Location- City, CA
Type-  Restaurant, Retail, Warehouse, etc.

 

Basics- What for or why?

 

Challenge- Problem you ran into?

 

Action- What you did?

 

Reaction- The companies reaction?

 

Solution- What would have done or like to have seen done?

 

Resolution- What was the final outcome?

 

# previous visits- #
# visits since- #
Overall Score-  1 to 5
Cleanliness Score-  1 to 5
Service Score-  1 to 5
Hustle/Urgency Score-  1 to 5

 

In your own words

 

Follow up- Do you have additional information to share some time later?