Colliflower Experience Survey Question Title * 1. What was the date of your Colliflower transaction? Date / Time Date Time AM/PM - AM PM Question Title * 2. Through which Colliflower location (alpha by state, city) did you make your transaction? FL-Davie FL-Miami FL-Opa-Locka GA-College Park GA-Douglasville GA-Marietta GA-Six Flags MD-Annapolis MD-Baltimore MD-Beltsville MD-Capitol Heights MD-Frederick MD-Hagerstown MD-Jessup MD-Linthicum Heights MD-Owings Mills MD-Rockville PA-Bensalem PA-Conshohocken PA-Ephrata PA-Frazer PA-Harrisburg PA-Horsham PA-Trainer VA-Fredericksburg VA-Manssas VA-Springfield VA-Winchester Via Inside Sales Other (please specify) Question Title * 3. What is the Sales Order/Invoice # of your transaction? Please skip if not applicable.Note: This information is located in the upper left hand corner of your receipt; example: D12345 Question Title * 4. Overall, I am very satisfied with my experience with Colliflower. Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree I am very satisfied. I am very satisfied. Strongly Disagree I am very satisfied. Somewhat Disagree I am very satisfied. Neutral I am very satisfied. Somewhat Agree I am very satisfied. Strongly Agree Question Title * 5. Most of the time, Colliflower has the parts I need when I need them. Strongly Disagree Somwhat Disagree Neutral Somewhat Agree Strongly Agree Colliflower has the parts I need when I need them. Colliflower has the parts I need when I need them. Strongly Disagree Colliflower has the parts I need when I need them. Somwhat Disagree Colliflower has the parts I need when I need them. Neutral Colliflower has the parts I need when I need them. Somewhat Agree Colliflower has the parts I need when I need them. Strongly Agree Question Title * 6. The Colliflower employee who assisted me was able to answer all of my questions and solve any problem I had. Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree The Colliflower employee was able to answer all of my questions and solve any problem I had. The Colliflower employee was able to answer all of my questions and solve any problem I had. Strongly Disagree The Colliflower employee was able to answer all of my questions and solve any problem I had. Somewhat Disagree The Colliflower employee was able to answer all of my questions and solve any problem I had. Neutral The Colliflower employee was able to answer all of my questions and solve any problem I had. Somewhat Agree The Colliflower employee was able to answer all of my questions and solve any problem I had. Strongly Agree Question Title * 7. How likely are you to recommend Colliflower to your industry colleagues? Very Unlikely Somewhat Unlikely Neutral Somewhat Likely Very Likely How likely are you to recommend Colliflower? How likely are you to recommend Colliflower? Very Unlikely How likely are you to recommend Colliflower? Somewhat Unlikely How likely are you to recommend Colliflower? Neutral How likely are you to recommend Colliflower? Somewhat Likely How likely are you to recommend Colliflower? Very Likely Question Title * 8. Where would you like Colliflower to open a new store? Question Title * 9. Please provide your details for inclusion in special events and promotions. Each field is optional. Email address Company Name First/Last Name Question Title * 10. Please add any additional feedback you may have about your Colliflower experience.We look forward to exceeding your expectations! Select when done
