Fleet Card Fuels

Cardlock Services			Renegade Travel Centers			Bulk Delivered Fuels			Dealer Development
	Commercial fueling services and more			Convenient products and services for the road			Experience and support for all your business needs			Your gateway to news, information, and support

1) What is the name/location of the station you visited?

2) What date did you visit our station? (mm/dd/yyyy)

3) What time did you visit our station? (As listed on your receipt)

4) Fuel Area and Station Appearance

	Excellent	Above Average	Average	Below Average	Extremely Poor
Premises / Fuel area neat and clean?
Window washing supplies available?
Clean waste containers available and not full/overflowing?
Restrooms neat and clean? (if applicable)

5) Store Experience (if applicable)

	Excellent	Above Average	Average	Below Average	Extremely Poor
Able to locate everything you needed?
Cashier was friendly and attentive?
Easy in and out?

6) Overall Experience

	Excellent	Above Average	Average	Below Average	Extremely Poor
Overall satisfaction with your experience?

7) Revisit

	Definitely	Very Likely	Maybe	Not Very Likely	No
Likely to revisit?

8) Comments