Marketing, Service & Management GmbH (MSM)

Mystery Shopper Register

Mystery Shopper Register

basic information (*means necessary information )

Name:	*
Password:	*
Gender:	male female*
Birthday:	*
Adress:	*
Native place:	*
Present adress:	*

Contact information

Telephone number:	-
Handy:	*
Fax:	-
E-mail (this is your ID)	*

Occupation/Family condition

Occupation:	*
Company’s name:	*
Educational background:	*
know other foreign languages or not :	Yes No *
	EnglishJapaneseOther *
salary:	*
marry or not:	Married Single*
have children or not:	Yes No*
the number of your children	*
the birthday of your children:

other information

wear spectacles or not:	Yes No *
have computer or not:	Yes No *
	the brand of your computer: *
have digital camera or not:	Yes No *
	the brand of your digital camera: *
have digital vidicon or not:	Yes No *
	the brand of your digital vidicon: *
have driving license or not:	Yes No *
have car or not:	Yes No *
	the brand of your car: * the year you bought the car: *
have the experience of mystery shopping or not:	Yes No *
	the mystery shopping task you have performed:
How do you know us?
Notes:

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