Supermarket Mystery Shopper Assessment Form
Store Information
Store Name
Store Location
Date of Visit
Time of Visit
Staff & Customer Service
Number of Staff Visible
Were you greeted upon entering?
Yes
No
Staff Professionalism (1 = Poor, 5 = Excellent)
Comments on Service
Store Cleanliness
Was the entrance clean and tidy?
Yes
No
Are shelves well-stocked and organized?
Yes
No
Store Cleanliness Rating (1 = Poor, 5 = Excellent)
Comments on Cleanliness
Checkout Experience
Number of checkouts open
Waiting time for checkout (mins)
Was the cashier polite and efficient?
Yes
No
Checkout Experience Rating (1 = Poor, 5 = Excellent)
Comments on Checkout
Overall Impression
General comments, suggestions, or incidents observed