Customer Feedback Card

Each month one lucky customer will go in the draw (1st day of the next month) to win a $50 gift voucher from Yeperenye Shopping Centre*.

To tailer services towards your needs, please spend a few minutes in answering the questions to have a chance!

* Limit of one survey form per customer per month. All the question have to be answered to be eligible for draw.

All information, is kept confidential and used only to assist in shopping centre services and in promotional matters.

* Gender	Male Female
* Age Group	Under 15 yrs 16 - 19 yrs 20 - 24 yrs 25 - 29 yrs 30 - 34 yrs 35 - 39 yrs 40 - 44 yrs 45 - 49 yrs 50 - 54 yrs 55 - 59 yrs 60 - 64 yrs 65 - 69 yrs 70 - 75 yrs 75 and older
* Region or Suburb	Araluen Gillen Larapinta Braitling Stuart Mount John Eastside Sadadeen Undoolya The Gap Desert Springs Rural Area Station Community Tennant Ck Yulara Interstate Overseas
* How often do you visit the centre?	Daily 2 to 3 times a weeks Once a week Once a fortnight Once a month Once every two months Once every 6 months First time
Which stores have you visited today?
What do you enjoy the most about shopping at Yeperenye Shopping Centre?
What do you like least about shopping at Yeperenye Shopping Centre?
* In Relation to services and facilities provided by Yeperenye Shopping Centre would you agree that generally you are:	Greatly dissatisfied Dissatisfied Pleased Satisfied Very Satisfied
What areas in the centre could be improved?
* Where do you source most of your infomation about town activities?	Newspaper Radio TV Internet Word of Mouth Other
* Any other comments are welcome
* Please contact me about comments	Yes No
* Please keep me up to date with specials, sales, and promotional events	Yes No
* Name:
Address:
Telephone
* Email or Postal Address