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Subscriber
Dear customer,

As you may know, the Tops formula is based on giving our customers the best possible service. To do this, we need to know what you think of Tops, what things we can improve, what products we should sell, etc. This is why we would like to ask you to fill in the form below to give us an impression of our shortcomings or strengths..

At the bottom, we will give you a chance to subscribe to our weekly e-mail brochure.

Thank you very much.

Questionnaire


Personal    

First Name: 		 
*
Family Name:   *
Nationality:   *
Address:  
 *
District:   *
City:   *
Areacode:   *
E-mail address:   *
Telephone:  
Fax:  
    * You must have a valid e-mail address to
  subscribe to our weekly promotions e-mail.
     
Work    

Company Name:		  
Address:  
District:  
City:  
Areacode:  
Telephone:  
Fax:  
     

Questions    

Do you shop at Tops?		  
Yes   No
     
If yes, please specify which shop:  
     
If no, please specify why not:
(multiple options is possible)		   Variety of products
Inconvenient location
Go to competitor
Price
Product quality
Service
Other, please specify
     
Do you have a product(s)
you would like to see in our assortment?		  
     
Which promotion do you prefer?  
     
Have you ever seen Tops Advertisement ?
If Yes, please specify
(multiple options is possible)		   Television
Newspaper
Magazine
Billboard
Tops Weekly Brochure
Poster in Department Store
     
If you would have to give Tops a mark from 1(bad) to 10(best),
what would you give us? 		 
     
If you don't shop at Tops, which shop do you go to?
Please specify:		  
     
How did you find this page?  
     
What do you think of this page?  
     
Do you want to subscribe on our weekly email brochure?
(Red Hots and other info)		   Yes   No
     

  

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