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Name : *

Email id : *

Contact No. : *

Date of Visit : *

Address : *

Age Group :

Upto 20

21 to 35

36 to 45

46 & Above

How did you come to know about Shipra Mall?

Hoardings

Emailer/SMS

Advertisements

Reference

What was your reason to visit the Mall?

Shopping

Dine

Events/Entertainment

Others

How much time did you spend at Shipra Mall?

1 to 2 Hours

3 or 3+ Hours

Less than Half an Hour

Rate the overall experience during your visit:

Excellent

Very Good

Good

Needs Improvement

Kindly evaluate the following services:

Service	Excellent	Very Good	Good	Needs Improvement	Not Been Used
Parking Service
Access to the Mall
Access to the Store
Cleanliness
Aesthetics
Washrooms
Safety & Security
Friendliness of Executive

How does you like our Brand Mix?

Excellent

Very Good

Good

Satisfactory

How can we make your visit to Shipra Mall a better one?