Survey Report Fill each section correctly Please enable JavaScript in your browser to complete this form.1Tester's Bio-data23Name *FirstLastSurvey ID Refer to section 1 of page 2 of the Survey Operational Manual. Skip this section if you're not sure of your ID number.Email *Phone *NextApparel Shopping ReportYou are required to fill in information from your survey at Nike, Inc. only.Address of Nike, Inc. store visited. *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateName of Attendant/Cashier/ManagerFill in the name of any of the above staff if you captured their names, else fill in N/A or skipRate customer service of the attending official(s) *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Image of Apparel 1 Barcode *Capture the barcode area of the purchased item and upload the image here.Image of Apparel 2 Barcode *Capture the barcode area of the purchased item and upload the image here.Image of Apparel 3 Barcode *Capture the barcode area of the purchased item and upload the image here.Image of Apparel 4 Barcode *Capture the barcode area of the purchased item and upload the image here.Gift Card Sample 1Upload clear images of front and back of the $500 Nike gift card purchased at Nike Store. Ensure to peel the silver seal on the PIN area of the card gently for scanning on next phase. Front of Gift Voucher Purchased at Nike Store *Back of Gift Voucher Purchased at Nike Store *Image of Receipt Issued at Nike Store *Additional Comment/ReportNextCVS/Walmart Gift Voucher Evaluation ($500 x2 Units)This section seeks to collect report with relevant images from your Walmart/CVS gift voucher purchases. Address of CVS/Walmart Store Visited.Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateIf the purchase or survey was carried out at a store other than CVS/Walmart, enter its address and notify your manager of the change.Name of Attendant/Cashier/ManagerFill in the name of any of the above staff if you captured their names, else fill in N/A or skipRate the general condition of Nike vouchers and its related products found in this store.Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Card 1 (Front Image) *Card 1 (Back Image) *Card 2 (Front Image) *Card 2 (Back Image) *Image of Receipt Issued for Purchases *Additional Comment/ReportCVS/Walmart Gift Voucher Evaluation ($200 x2 Units)Address of CVS/Walmart Store Visited.Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateIf the purchase or survey was carried out at a store other than CVS/Walmart, enter its address and notify your manager of the change.Name of Attendant/Cashier/ManagerFill in the name of any of the above staff if you captured their names, else fill in N/A or skipWhat would you rate the general condition of Nike gift vouchers and its related products found in this store. *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Card 3 (Front Image) *Card 3 (Back Image) *Card 4 (Front Image) *Card 4 (Back Image) *Image of Receipt Issued for Purchases *Additional Comment/ReportSubmit Report
