MY MR. JIM'S

Free Pizza Survey

Want to win a free pizza? We know you are very busy and we appreciate the time you are taking to help us by filling out this survey. We will send the 20th person to submit this survey a certificate for $15.00; good at any Mr. Jim's. Please be honest in your answers. We need this data to find out how we can serve you better and to strengthen those areas where we are already doing well. We award a certificate to the 20th submitter regardless of the answers.

The only rules are that you must have purchased something from a Mr. Jim's within the last 24 hours (we will verify this) and you may only fill out one survey per order, per household.

Contact Information

Name:


Address:


City, State, Zip:


Phone number you used to place your order:


Email:


City of the Mr. Jim's:

General Survey Questions

Did your order come in an official box, with our logo on it?
Yes
No

Why did you choose Mr. Jim's today? (choose as many as apply)
I got a coupon in the mail.
I got a coupon on my door.
I saw your TV ad.
My friend recommended it.
I looked in phone book.
I went to your website.
I have ordered Mr. Jim's Pizza before and I like it.

How did you place your order?
I placed the order online and had it delivered.
I called in the order and had it delivered.
I placed the order online and went to pick it up.
I called in the order and went to pick it up.
I ordered in person at the store and picked it up.

What did you order? (choose as many as apply)
Pizza
Jim Stix
Nacho Stix
Wings
Drinks
Salad
Pasta
Sub

Did you enjoy your meal?
Yes, it was excellent.
It was pretty good.
It wasn't exactly what I ordered.
It wasn't at all what I ordered.
It didn't taste right.
I was very unhappy with it.

Did you receive a menu with your order?
Yes
No

If your meal was anything short of excellent, please tell us why.

Overall Satisfaction Questions

How do feel about the value of your Mr. Jim's dining experience today?
It was great and better than expected, I will order again.
It was okay, I may order again.
It was partially okay, but not what I expected.
It was unfair.

How did you enjoy your total dining experience?
It was excellent!
It was okay, nothing was wrong.
I was somewhat disappointed.
I was very disappointed.

On a scale of 0-10, with 10 being the highest and 0 being the lowest, how likely are you to recommend Mr. Jim’s to a friend or colleague?

If your total dining experience was anything less than excellent, please use the box below to tell us why. Were you over charged? Was there something you ordered you didn't get? Was someone discourteous? I would like to try and get our operation corrected.

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