Color Me Mine - Customer Feedback

Lafayette
California
925-299-2615

Our Address:
3541 Mt. Diablo Blvd.
Lafayette, CA 94549
925-299-2615

Our Studio Hours:
10-7	Sunday
11-8	Monday
11-8	Tuesday
11-8	Wednesday
11-8	Thursday
10-9	Friday
10-9	Saturday

Earn $5.00 towards paint time. . .

Please take a few moments to tell us about your visit to a Color Me Mine studio. The information you provide will remain confidential. In return we'll send you a coupon, good for $5 Off Paint Time in the studio of your choice.

Customer Feedback Form

Name

E-mail

This form cannot be processed without a valid email address.

Phone

Date & Time Visited

Receipt Number

Your Gender?

Female

Male

Marital Status?

Single

Single Parent

Married

Your Age Group?

Under 12

13-17

18-24

25-34

35-44

45-54

55-65

65+

I usually Visit Color Me Mine:

During The Day	Evenings
Weekday	Weekend

How often do you visit Color Me Mine?

One or more monthly

Several per year

Holidays only

First time visit

My last visit was:

Planned in advance

Spur of the moment

I visit Color Me Mine for:

Creating personal gifts

Make something for myself

Distance you live from the studio:

Under 1 mile

1-3 miles

3-5 miles

5 miles plus

Cable TV Shows I Watch:

Food

Cartoon

Exercise

Home/Garden

None 0f the options

Amount Spent?

$25 or Less

$26 to $50

$50 or More

Friendliness Of Staff?

Excellent

Good

Fair

Needs Improvement

Staff member(s) knowledgeable?

Excellent

Good

Fair

Needs Improvement

Staff Attentive To My Needs?

Excellent

Good

Fair

Needs Improvement

Cleanliness?

Excellent

Good

Fair

Needs Improvement

Atmosphere?

Excellent

Good

Fair

Needs Improvement

Overall Value?

Excellent

Good

Fair

Needs Improvement

Variety?

Excellent

Good

Fair

Needs Improvement

Overall Experience?

Excellent

Good

Fair

Needs Improvement

I want to learn more about:
(Check All That Apply)

Children's Classes

Adult Classes

Birthday parties

Showers

Scout Programs

After School Programs

Will You Visit Again?

Yes

Please give us one suggestion
as to how we can improve
your experience.

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Thank you for taking the time to complete this questionnaire.

We will email a coupon for $5 Off Paint Time to the email address you submitted in this form.