Store Visit Comment Card

Please select the store you are writing about * AR - BentonAR - Fort SmithAR - Hot SpringsCO - Fort CollinsCO - Grand JunctionKS - El DoradoKS - EmporiaKS - Great BendKS - TopekaKS - WichitaKS - Wichita-SouthKY - LouisvilleLA - ShreveportMO - AuroraMO - CameronMO - FultonMO - HarrisonvilleMO - IndependenceMO - JoplinMO - Kansas CityMO - LebanonMO - LibertyMO - MaryvilleMO - RaytownMO - SedaliaMS - PearlNM - CarlsbadNM - Las CrucesOH - CirclevilleOH - Columbus-SouthOK - BixbyOK - LawtonOK - TulsaTX - AliceTX - Bay CityTX - BeaumontTX - BeevilleTX - BrenhamTX - Corpus ChristiTX - Del RioTX - DickinsonTX - El CampoTX - FredericksburgTX - La GrangeTX - Port IsabelTX - Wichita FallsUT - PriceUT - Salt Lake CityWY - Casper

Date and approximate time of visit

Tell us about yourself: (* = Required field)

Name *

Company Name

Address *

City *

State *

Zip *

Are you a professional or Do-it-yourselfer? Do-it-yourselfer Professional

What were you shopping for on your last visit?

Did you come in because of an advertised item?

Did you find everything you came in for? Yes No If no, what?

Is there a product we do not carry that you think we should?

How long have you been shopping at Sutherlands®?

Please rate us on the following aspects:

Overall helpfulness of floor employees Excellent Good Average Improvement needed

Product Selection Excellent Good Average Improvement needed

Overall fair pricing Excellent Good Average Improvement needed

Ease and speed of checkout Excellent Good Average Improvement needed

Friendliness of Cashier at checkout Excellent Good Average Improvement needed

Cleanliness of store Excellent Good Average Improvement needed

Please share any comments about your visit:

Please let us know how you would you like to be contacted:

Telephone:

Email Address:

Thank you for your time, we appreciate your efforts to help us improve our business.