Retailer Survey — Engage Douglas County

Be In The Majority.

Thank you for your partnership in reaching out with positive messages to your patrons.

Please help us by completing this form after your participation in this campaign activity. This will help us greatly in our evaluation of the activity and planning efforts for the future.

Thank you for your feedback and participation!

Your Name

First Name

Last Name

Store Name

Store Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would you rate the overall success of the campaign activity from your point of view?

Very poor, would not participate again.

Poor, most likely will not participate again.

Would participate again if program was improved.

Good, most likely will participate again.

Very good, would love to participate again!

Why did you choose to participate in the campaign activity?

Did you receive any customer comments about the activity? What feedback did you receive?

What are some positive outcomes/results you have seen as a result of the activity?

What would you suggest doing differently next time?

Any other comments/feedback?