TELL US WHAT YOU THINK!

We value your opinion. Please complete this brief survey, so we can serve your needs better!

Complete our Survey and You Could Win $100 Gas! *

Thank you for shopping at GasAmerica! We appreciate your business and strive to be a convenient shopping experience for you every time. Please take a few minutes to answer the following questions regarding your visit. Your answers are confidential.

Please enter the Store #, Ticket #, and Date found on your receipt:

Store #:
Ticket #:
Ticket Date:

Overall, how would you rate our customer service on a scale of 1 (Worst) to 10 (Best)?

Worst 1    2    3   4    5    6    7    8   9   10 Best
        

Overall, how would you rate the availability of the product you are looking for on a scale of 1 to 10?

Worst 1    2    3   4    5    6    7    8   9   10 Best
        

Overall, how would you rate the convenience of your shopping experience on a scale of 1 to 10?

Worst 1    2    3   4    5    6    7    8   9   10 Best
        

Overall how would you rate our competitive pricing on a scale of 1 to 10?

Worst 1    2    3   4    5    6    7    8   9   10 Best
        

How long did you have to wait to complete your most recent transaction with us from the moment you entered the pay line?


Less than 30 seconds
30 seconds to 1 minute
1 to 2 minutes
2 minutes or more

What do you need from GasAmerica? Please rank 1 (Least) to 10 (Most)?

Clean, well-lit store

 1    2    3   4    5    6    7    8   9   10

Fast, friendly service

 1    2    3   4    5    6    7    8   9   10

Good prices

 1    2    3   4    5    6    7    8   9   10

Convenient locations

 1    2    3   4    5    6    7    8   9   10

Variety of products to serve my needs

 1    2    3   4    5    6    7    8   9   10

Food service

 1    2    3   4    5    6    7    8   9   10

Do we provide the above to your satisfaction most of the time?


Yes
No

How far do you live from our store?


1 to 3 miles
4 to 6 miles
7 to 10 miles
More than 10 miles

How far do you work from our store?


1 to 3 miles
4 to 6 miles
7 to 10 miles
More than 10 miles
NA – I am not currently employed

How many of our stores do you shop at?


1 store
2 to 3 stores
4 to 6 stores
7 to 10 stores
More than 10 stores

What times do you normally shop at our stores? Please check all that apply.

On my way to work or school
During the day
On my way home from work or school
Other

Where else do you shop out of the following list? Please check all that apply.

Circle K
Speedway
BP
Shell
Village Pantry
Meijer
Walmart
Kroger
Other

What media do you use on a regular basis? Select the number of hours per day.

Newspaper

 0    1    2   3    4    5+

Radio

 0    1    2   3    4    5+

Television

 0    1    2   3    4    5+

Internet

 0    1    2   3    4    5+

What type of living arrangements do you have?


Own house
Rent house
Rent apartment
Other

Why do you shop at GasAmerica?

What do you like about our company?

What could we offer to make your life more convenient?

What’s your biggest headache about shopping at our stores?

What do you do for a living?

Thank you for completing this survey!

* All survey responses are automatically entered into a sweepstakes for each calendar month provided we have either your Convenience CARD number or your email address. Only one entry per household per calendar month. Void where prohibited by law. Odds of winning are dependent upon the number of entries received. Must be 18 years or older and a legal resident. No purchase necessary to enter or win. To enter without purchase and for complete official rules visit www.gasamerica.com/surveyrules.

Convenience CARD number: help
Email address:


 

 

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