Store Location:
We constantly try to improve our services and with these simple questions, we can better serve you.
Store Visited:  
Date Visited: MM/DD/YYYY Format

Survey:
Item Excellent Good Fair Poor N/A
Store Neatness and Cleanliness
Sales Politeness and Friendliness
Staff Knowledgeability
Service Efficiency
Technical Accessibility
Our overall pricing compared to other local computer stores?Lower Same Higher
How many PC systems do you possess?
How did you hear about us? Other:
Will you refer PC Club to your friends? YESNO
What product(s) would you like PC Club to carry?
How could we improve to serve you better?

User Info:
We send out special direct mail flyers and E-mail promotions to our customers. By signing up below you will get access to these promotions.
First Name: Last Name:
Phone (Optional): (XXX)XXX-XXXX Format
Address:
City:
State: Zip Code:
E-mail: Sign up for promotions? YES NO