Site Survey Questionnaire

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Site Survey Questionnaire
Company Name:
Your Name:
Office Address:
Office Phone:
Email Address:
Store Brand:
Gasoline Brand:
Store Address:
Store Phone:
Mobile Phone:
Square Footage of Store:
Morning Traffic or Evening Traffic:
Other QSR Brands Inside:
How Many Gallons Per Month:
Inside Sales Volume Per Month:
# Of Transactions Per Day:
# Of Pumps:
# Of Parking Spaces:
Sq Footage of Cooler:
Square Footage of Freezer:
Grocery Distributor:
# Of Grocery Deliveries Per Week:
Please save a copy of this form. When complete, email this form along with photographs of the
following to
OUTSIDE:
Exterior of Store From The Street
Exterior of Store Front
Parking Spaces
Monument Signs
INSIDE:
Front Counter
Other Food Service Area
Hand Wash Sink
Cooler Storage
Coffee Bar
Seating Area
3-compartment Sink
Freezer Storage
Fountain
Condiment Bar
By checking this box I agree that Naughty Chile Taqueria can assess this information for its applicability to hosting a
Naughty Chile Taqueria licensed location.
Signature:
Date:

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