Case Cleaning Program - Evaluation
Return
Store No.:
What time did the Cleaning Crew Arrive?
No.of Technicians:
1
2
3
4
What time did the Cleaning Crew Leave?
Date:
How much time was spent in each department
Meat Hrs.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
Bakery Hrs.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
Produce Hrs.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
Deli Hrs.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
1.
Were cases cleaned correctly using proper procedures?
Yes
No
If No - Comment:
2.
Was the Cleaning completed within the allotted time?
Yes
No
If No - Comment:
3.
Did the Cleaning Crew clean up after themselves?
Yes
No
If No - Comment:
4.
Were the drains cleaned after usage?
Yes
No
If No - Comment:
5.
Were fans plugged back in to prevent freezing?
Yes
No
If No - Comment:
6.
How satisfied were you with the Cleaning experience?
(5=good/great 1=poor/bad )
Comment:
5
4
3
2
1
7.
How satisfied were you with the Cleaning Crew?
(5=good/great 1=poor/bad )
Comment:
5
4
3
2
1
8.
Please tell us the areas that we can improve to make this a better experience for others:
9.
Overall - How were you satisfied with the Cleaning Program?
(5=good/great 1=poor/bad )
Comment:
5
4
3
2
1
Completed by:
Date:
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