My Customer Rule

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Nomination Form

* Mandatory fields

Section A

1. Did you wish to nominate someone in the category of:

2. Your Nomination

Nominate a business/department for Consistently Excellent Retail Service Delivery.
Nominate an Individual for Outstanding Single Service Experience.
Nominate a department/individual for Internal Service Award.

3. Your Nominee

4. What is the full address of the business (including street number if possible)?

Business Name

Street Number/ Street Name

Suburb

State

Country

5. What is the contact phone number of the business?

6. What type of business is it?

7. How often would you usually visit this business/use this service?

Section B (Individual Service Experience)

1. What made this experience special to you?

Please describe in no more than 50 words.

2. What was different about this experience from others at this business or other similar businesses?

Please describe in no more than 50 words.

3. Why did you nominate this experience for the My Customer Rules Award?

Please describe in no more than 50 words.

4. If prices were slightly higher at the business which provided this experience than at similar businesses in your area, would you still choose to visit this outlet?

Please describe in no more than 50 words.

Please think about how this experience compares to other experiences at similar outlets/service providers. How would you rank it in terms of:

1. The atmosphere during your experience?
2. Staff friendliness?
3. Staff knowledge?
4. The way staff took ownership of service?
5. The responsiveness of service?
6. Your perception of the reliability of service? (ie. Do you believe that service would be delivered as needed every time?)

Section C (Consistently excellent service)

1. What makes a visit to this business/outlet special to you?

Please describe in no more than 50 words.

2. What is different about this business/outlet from others providing a similar service?

Please describe in no more than 50 words.

3. Why did you nominate this business for the "My Customer Rules" Inaugural Award?

Please describe in no more than 50 words.

4. If prices were slightly higher at this outlet than at similar businesses in your area, would you still choose to visit this outlet?

Please describe in no more than 50 words.

Please think about how the overall standard of service delivered by this outlet/ provider compares to that of similar outlets/service providers. How would you rank it in terms of:

1. The atmosphere during your visits/ contacts?
2. Staff friendliness?
3. Staff knowledge?
4. The way staff took ownership of service?
5. The responsiveness of service?
6. Your perception of the reliability of service? (ie. Do you believe that service would be delivered as needed every time?)

Section D (Outstanding Service/Internal Service)

1. What makes a using this service special to you?

Please describe in no more than 50 words.

2. What is different about this service provider from others providing a similar service?

Please describe in no more than 50 words.

3. Why did you nominate this business for the "My Customer Rules" Inaugural Award?

Please describe in no more than 50 words.

4. If prices were slightly higher at this outlet than at similar businesses in your area, would you still choose to visit this outlet?

Please describe in no more than 50 words.

Please think about how the overall standard of service delivered by this outlet/ provider compares to that of similar outlets/service providers. How would you rank it in terms of:

1. The atmosphere during your visits/ contacts?
2. Staff friendliness?
3. Staff knowledge?
4. The way staff took ownership of service?
5. The responsiveness of service?
6. Your perception of the reliability of service? (ie. Do you believe that service would be delivered as needed every time?)

Section E (All awards)

1. What is the MOST important element to you from those below when you consider this kind of outlet/ service provider?

2. What is the SECOND most important element to you from those below?

3. What is the LEAST important element to you from those below?

Your Details

* Your Full Name

Phone/Mobile Number

* Your Email

Please Note: If you require any further assistance, please email: mycustomerrules@icsp.com.au

MY CUSTOMER RULES awards are proudly sponsored by GAPbuster Worldwide .

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