Rebecca's Fashion Outlet Customer Survey

Thank you for shopping today at Rebecca's Fashion Outlet in Smallville. We hope that you will be happy with the purchases that you have made. Please help us by taking a few moments to fill out this short questionnaire and drop it in one of the bins at the exits to the store.

1.	Was this your first trip to Rebecca's Fashion Outlet?
		No		Yes

2.	How did you first hear about Rebecca's Fashion Outlet?
		Saw a sign on the road		Read an ad in the newspaper
		Heard an ad on the radio		Word of mouth from a friend or family member
		Received our mailing

3.	From what part of the state did you come?
		North		South		East		West

4.	How many miles did you drive to get here?
		Less than 10		10 - 25		26 -  50		51 - 100		Over 100

5.	How much more frequently would you shop at Rebecca's Fashion Outlet if we were located closer to your home?
		None		A little		Some		A lot

6.	Was shopping at Rebecca's Fashion Outlet your primary reason for visiting Smallville?
		No		Yes

	If not, what were some other reasons for your visit to Smallville?

7.	How much did you spend today for your purchases at Rebecca's Fashion Outlet?
		Under $20		$20 - $50		$51 - $100
		$101 - $150		$151 - $250		Over $250

8.	How likely are you to shop at Rebecca's Fashion Outlet again?
		Unlikely		Some chance		Fifty-fifty chance
		Likely		Highly probable

9.	Which newspapers do you read on a regular basis? (Check all that apply.)
		The Gazette		The Globe		The Herald		The Times

10.	What radio stations do you listen to on a regular basis? (Check all that apply.)
		KCTY Country Music		KEZY Easy Listening		KTLK Talk Radio
		WROQ Rock Radio		WNWS 24 Hour News

11.	What is your annual household income?
		Under $25,000		$25,000 to $34,999		$35,000 to $49,999
		$50,000 to $64,999		$65,000 to $79,999		$80,000 or more

Thanks again for shopping at Rebecca's Fashion Outlet and for completing this questionnaire.  We hope to see you again soon.