Example Mystery Shopping Form
This is an online example of a Mystery Shopping form. We can create a form to suit your business and shopping requirements. Once the Mystery Shopper has completed the Shop they will enter the details into our Survey Database and a detailed report will be provided within 48hrs. For more information on how we can create a Mystery Shopping Form for you Click here to visit our Mystery Shopping Section.
Shop Details
Mystery shopped on (MM/DD/YYYY) _________________
Store name: ________________________
Store location: ________________________
Time of shop: _________________________
Name of person/s who served me: _______________________________________________
Length of time until a staff member approached me: _________________
Please give a brief summary of your shopping experience:
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Please tick the most appropriate:
1= Excellent; 2= Good; 3=Satisfactory; 4= Could improve; 5=Very poor
Exterior – Total: __/50
Was the exterior neat and tidy? ________________/10
Comment:
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Did the exterior appear professional?____________________________/10
Comment:
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Was the exterior attractive? ____________________________/10
Comment:
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Visibility – Total: __/50
Did the store appear visible?________________/10
Comment:
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Did the store have signs/lights/colour to attract attention?________________/10
Comment:
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Did it feel like you were encouraged to enter the store?________________/10
Comment:
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Windows – Total: __/20
Were the store windows clean?________________/10
Comment:
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Did the windows allow you to look inside?________________/10
Comment:
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Products – Total: __/10
Were the products professionally presented?________________/10
Comment:
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Were the front of the products visible?________________/10
Comment:
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Were there products at the front of the store and at the till?________________/10
Comment:
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Could you see the prices clearly?________________/10
Comment:
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Housekeeping – Total: __/10
Were the products categorised?________________/10
Comment:
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Was the store neat and tidy?________________/10
Comment:
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Was the carpet and shelves clean and free of dust?________________/10
Comment:
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Was the till area neat, tidy and clean?________________/10
Comment:
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Store Ambience – Total: __/10
Did you feel welcome in the store?________________/10
Comment:
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Was the store bright and lighted up?________________/10
Comment:
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Was there nice music playing?________________/10
Comment:
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Were parts of the store colourful?________________/10
Comment:
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Was the store temperature comfortable?________________/10
Comment:
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How was the scent in the store?________________/10
Comment:
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Store Acknowledgment & Greeting – Total: __/10
Did the staff members ask what you were looking for?________________/10
Comment:
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Could you see staff name badges?________________/10
Comment:
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Selling skills – Total: __/10
Did the staff member listen to your needs and ask open-ended questions?________________/10
Comment:
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Did the staff member appear enthusiastic?________________/10
Comment:
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Did the staff member try to up sell?________________/10
Comment:
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Did the staff member recommend a certain product?________________/10
Comment:
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Point of Transaction – Total: __/10
Did you have to wait in line?________________/10
Comment:
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Was your waiting time short and quick?________________/10
Comment:
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Did the staff member at the till say hello?________________/10
Comment:
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Did the staff member at the till appear enthusiastic?________________/10
Comment:
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Were there any additional comments you would like to share that were not covered?
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For more information on how we can create a Mystery Shopping Form for you Click here to visit our Mystery Shopping Section.

