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Questions marked with a * are required Exit Survey
 
 

Thank you for your interest in the Brookings Area Mystery Shopper program.  We are looking for people like you to “secret shop” area businesses at your convenience, and give our Research Team feedback about the level of service you received. The first opportunity is in June 2017. For your participation, you will receive a $100 incentive upon your completion of the survey forms detailing your experiences.

Please complete the following information about yourself.  You may forward this survey link to others who you think may be interested in participating.

If you are selected for the program, you will be contacted about your availability in the next 3-10 business days.  You will receive training/instructions, and the total experience will require between 2 and 3 hours of your time. 

 
 
Contact Information
* First Name : 
* Last Name : 
* Address Line 1 : 
   Address Line 2 (enter n/a if unused) : 
* City : 
* State : 
* Zipcode : 
* Cell Phone : 
Email Address : 
 
 
 
* Gender
 
Female
 
Male
 
 
 
* Age
 
17 or Under
 
18-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65-74
 
75-84
 
85 and Up
 
 
 
* Occupation
   
 
 
 
* Marital Status
 
Married
 
Not Married
 
Domestic Partnership
 
Prefer Not to Answer
 
 
 
* Children
 
Children Under 18
 
Adult Children
 
No Children

 
 
 
* Do you rent or own a home?
 
Rent
 
Own
 
 
 
* Are you available to visit the Brookings and surrounding area to "secret shop" during the month of June 2017?
 
Yes
 
No
 
Unsure
 
 
 
* Please select possible dates/times you'd be available for secret shopping TRAINING (one hour or less). Please check all that apply.
 
May 24th-6 p.m.
 
May 25th-6 p.m.
 
May 27th-11 a.m.
 
June 2nd-6 p.m.
 
None of the above. Please enter a date/time you'd be available prior to June 5th.
 

 
 
 
*

Which of these business types are you most interested in "secret shopping?" Check all that apply.
 
Insurance Companies
 
Banks
 
Car or Motorcycle Dealers
 
Large Retailers (Walmart, Home Depot, etc.) 
 
Small Retailers (Local, Clothing Stores, etc.)
 
Fast Food Restaurants
 
Sit-Down Restaurants
 
Any Business Type

 
 
 
* Which of the following restaurants have you visited at least once in the past year?
 
McDonald's
 
Culver's
 
George's Pizza
 
Cubby's
 
Valley Restaurant
 
Knotty Pine Supper Club
 
Whiskey Creek
 
Perkins
 
None of these

 
 
 
* Have you or anyone in your household been employed by any of the restaurants mentioned above?
 
Yes
 
No
 
 
 
* Which of the following area banks do you have an account with? Check all that apply.
 
Wells Fargo
 
First Bank & Trust
 
Dakotaland Federal Credit Union
 
BankStar Financial
 
MetaBank
 
Great Western Bank
 
Other: please enter the name of the bank
 

 
 
 
* Have you or anyone in your household been employed by any of the banks mentioned above?
 
No
 
Yes, currently
 
Yes, past