Name

Address

City

State

zip code

Phone

email

Which location did you visit?

Who performed your service??

What was the date of your last visit?

How often do you visit a ROOSTERS MEN’S GROOMING CENTER? --Select One-- First Time Weekly Every Two Weeks Monthly Every Six Weeks Every Other Month Every Three Months

If you have visited a ROOSTERS MEN’S GROOMING CENTER shop in the past, please help us by rating us in the following areas:

Haircut Quality:
Excellent    Very Good    Good    Fair    Poor

Shave:
Excellent    Very Good    Good    Fair    Poor

Wait Time:
Excellent    Very Good    Good    Fair    Poor

Shop Cleanliness:
Excellent    Very Good    Good    Fair    Poor

Friendly and Courteous Service:
Excellent    Very Good    Good    Fair    Poor

Overall Feeling:
Very Satisfied   Satisfied   Neutral   Dissatisfied   Very Dissatisfied

Will you return?
Definitely Will   May or May Not   Definitely Will Not

Briefly describe your feelings about your visit:

What would you like to see us change or add?

Additional Comments:

May we contact you regarding this survey?
Yes    No

If "yes," what is your phone number?

What is the best time to reach you?
--Select One-- Mornings Afternoons Evenings