* Customer Name:
* City:
* Name of person completing survey:
* Phone:
* E-mail:

For each item identified below, check the number to the right that best fits your judgment of its quality.

        Scale    
  Survey Item / Question Poor   Good   Excellent
* 1. Freshness of Product in your machines 1 2 3 4 5
* 2. Product Choices - the choice available are: 1 2 3 4 5
* 3. Equipment Reliability 1 2 3 4 5
* 4. Overall Cleanliness of the vending machines. 1 2 3 4 5
* 5. Likelihood to purchase items from these machines. 1 2 3 4 5
* 6. Overall satisfaction with service. 1 2 3 4 5
* 7. Response from the company or route sales person to my wants/needs. 1 2 3 4 5
* 8. How many days a week do you purchase items out of the vending machines?        
* 9. On average, how much money do you spend a week in the vending machines?        
* 10. Do you usually bring your own snacks and drinks?
Yes
No  
* 11. When is the last time you were contacted by anyone from Mcliff Vending & Coffee?
12. Any Additional comments and suggestions you may like to make: