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Dear Respondent,
Thank you very much for your collaboration. Your responses will be treated with utmost
confidentiality.
Personal Data
Name: Name of Shop:
Age: Address of Shop:
Gender: Male Female
Vehicle Serviced:
Civil Status: Single Married Separated
Highest Educational Attainment: Service Availed:
Work: Amount Paid:
On your most recent service visit, how would you rate the shop on the following areas?
Poor Fair Good Very Excellent N/A
Good
Quality of work performed
Avoiding inconveniencing
you
Ease of obtaining an
appointment
Promptness in handling
repair work
Arranging replacement
Performance of repairs
Reasonable price of
services/products
Did the following things occur on your most recent service visit?
Yes No N/A
You were explained the work
to be performed before hand.
What can you say about the location of the shop? ____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________.
Does the location of the shop in any way affect your choice of automotive shop? ______
Why? _______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________.
With the quality of service rendered to you, are you willing to return to this shop in the
future? ________ Why? ______________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________.
Are you willing to recommend this shop to you friends? ________ Why? _______________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________.
_______________________________
Respondent