Your Feedback is important to us!

Name:            

Mailing Address: 

City:               State:    Zip Code: 

Phone Number:     

E-mail address (Required): 

Which location did you visit? 

Who performed your service?  

What was the date of your visit?  

How often do you visit a BIG LEAGUE shop? 
		SELECT ONE
		First Visit
		Weekly
		Every Two Weeks
		Once Per Month
		Every Six Weeks
		Every Other Month
		Every Three Months
		 	
														
If you have visited a BIG LEAGUE® shop in the past, please help us by rating us in the following areas:

Haircut Quality:  Excellent  Very Good  Good  Fair  Poor

Shampoo:  Excellent  Very Good  Good  Fair  Poor

Wait Time:  Excellent  Very Good  Good  Fair  Poor

Shop Cleanliness:  Excellent  Very Good  Good  Fair  Poor

Friendly and Courteous Service:  Excellent  Very Good  Good  Fair  Poor

Overall Feeling:  Very Satisfied  Satisfied  Neutral  Dissatisfied  Very Dissatisfied

Will you return?:  Definitely Will  May or May Not  Definitely Will Not

Briefly describe your feelings about your visit   
			

What did you like most about your visit?           


What did you dislike most about your visit?        



What would you like to see us change or add?      
			

Additional Comments  

May we contact you regarding this survey?  Yes  No 

If "yes," what is your phone number? 	

What is the best time to reach you? 
	SELECT ONE
	 Mornings
	Afternoons
	Evenings