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Customer Profile Form
This exercise is a way for us to find the most ideal customer experience for our customer demographic.
Use this form to create a potential customer's personal profile. The more information you give about the person the more useful it becomes to this exercise.
Your name
Customer's first name
Customer's last name
Age
Gender
*
Required
Male
Female
Ethnic Background
How long has this person lived in the US?
Occupation
Type of housing they live in
Who do they live with
*
Required
They live alone
Wife
Husband
Kids
Parents
Boyfriend
Girlfriend
Friends
Roomates (non friend)
Grandparents
They are visiting from out of town
Who is this person visiting our store with?
*
Required
They are alone
Wife
Husband
Kids
Parents
Boyfriend
Girlfriend
Friends
Grandparents
Coworker(s)
Please provide more detail about this person
Where is this person coming from?
Where is this person going?
What time of day are they visiting our store?
Primay reason for visit
*
Required
Pick up groceries for dinner
Shopping for groceries
Shopping for specialty foods
Prepared grab & go food
Dine in (Taco Bar)
Dine in (tap room)
Takeout
Ice Cream (takeout)
Ice Cream (dine in)
Grab a coffee
Grab a juice
Sit down and drink a beer
Milk / Dairy
Beer (case)
Meat
Produce
Please provide details on this persons visit
What did this person purchase during their visit?
*
Required
Specialty Foods (made in house / local)
Grab & Go Sandwich / Salad (to go)
Tacos / Pupusas (to go)
Tacos /Pupusas (dine in)
Tacos /Pupusas (online pickup)
Ice Cream (to go)
Ice Cream (dine in)
Ice Cream (online pickup)
Coffee / Toast (to go)
Coffee / Toast (dine in)
Coffee / Toast (online pickup)
Juice / Smoothie / Bowl (to go)
Juice / Smoothie / Bowl (dine in)
Juice / Smoothie / Bowl (online pickup)
Beer (dine in)
Beer (case)
Beer (take home craft)
Milk / Dairy
Meat
Produce (dry)
Produce (wet)
Dry Grocery (rice, beans etc)
Packaged Grocery (brand name)
Beverage (bottled)
Submit
Thanks for sharing your feedback with us!
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