A STUDY ON EFFECTIVE SERVICE QUALITY WILL RETAIN THE
CUSTOMER IN
Name:                                          If Yes, to whom_________________
Age Group : a) < 18 b) 19-25          c) 26-
30    d) 31-35       e) 36-40      f) 40 <     16. Have you given any feedback for our
Gender : a) Male b) Female                     development? a) Yes b) No
                                               If Yes, What is that
1. How do you aware of our shop?
                                               ____________________
A) TV      B) friends        C) Newspaper
                                               17. What about your next purchase?
D) Banners         E) others
                                               a) Our shop b) Others
2. Where are you from?
A) < 10 km      B) 11 – 30 km C) 31 –          If, (b) please mention the
60 km     D) 61—100 km     E) > 60 km          reason______________
3. Which attraction you to be a customer
here?                                          EXPECTATIONS
A) Offers     B) Varieties     C) Pricing      Strongly Disagree   Strongly Agree
D) Models         E) Product quality            1 2       3      4        5       6
                                               7
4. Did you encounter any complaint from
the product?                                    S.N                    Tangibles                  Sc
                                                 o                                                ore
A) Often B) Periodically C) Sometimes            1     Excellent Retailers will have modern
D) Very rare    E) Never                               looking equipment.
                                                 2     The physical facilities at excellent
5. How do they respond to the complaints?              Retailers will be visually appealing.
A) Money back       B) ReplacingC) net           3     Employees at excellent Retailers will
encouraged D) Quicker E) Never Respond                 be neat appearing.
                                                 4     Materials associated with the service
6. How many years are you purchasing                   (such as pamphlets or statements) will
here?                                                  be visually appealing at an excellent
                                                       Retailers.
A) <1 B) 2-5   C)5-7                                                   Reliability
D)8-12      E)>12                                5     When excellent Retailers promise to do
                                                       something by a certain time, they do.
Rate the following: 5- Excellent 4- Good         6     When a customer has a problem,
3- Moderate 2- Bad 1- Very Bad                         excellent Retailers will show a sincere
                                                       interest in solving it.
 S.No       Attributes          Rating           7     Excellent Retailers will perform the
   7     Quality                                       service right the first time.
                                                 8     Excellent Retailers will provide the
   8     Price                                         service at the time they promise to do
         Varieties                                     so.
   9
                                                 9     Excellent Retailers will insist on error
   10    Location                                      free records
                                                                    Responsiveness
   11    Service
                                                10     Employees of excellent Retailers will
   12    Display                                       tell customers exactly when services
                                                       will be performed.
   13    Parking Facilities                     11     Employees of excellent Retailers will
         Sales man response                            give prompt service to customers.
   14
                                                12     Employees of excellent Retailers will
                                                       always be willing to help customers.
15. Do you refer our shop to others? a) Yes
                                                13     Employees of excellent Retailers will
b) No                                                  never be too busy to respond to
      customers’ requests.
                      Assurance
 14   The behavior of employees in excellent
      Retailers will instill confidence in
      customers.
 15   Customers of excellent Retailers will
      feel safe in transactions.
 16   Employees of excellent Retailers will
      be consistently courteous with
      Customers.
 17   Employees of excellent Retailers will
      have the knowledge to answer
      customers’ questions.
                       Empathy
 18   Excellent Retailers will give customers
      individual attention.
 19   Excellent Retailers will have operating
      hours convenient to all their
      customers.
 20   Excellent Retailers will have
      employees who give customers
      personal attention.
 21   Excellent Retailers will have their
      customer’s best interests at heart.
 22   The employees of excellent Retailers
      will understand the specific needs of
      their customers.
PERCEPTIONS
Strongly Disagree           Strongly
Agree
 1    2    3        4          5       6
7
S.N                 Tangibles                   Sco
 o                                               re
 1    Rural Retailers has modern looking
      equipment.
 2    Rural Retailers physical facilities are
      visually appealing.
 3    Rural Retailers reception desk
      employees are neat appearing.
 4    Materials associated with the service
      (such as pamphlets or statements) are
      visually appealing
                      Reliability
 5    When Rural Retailers promises to do
      something by a certain time, it does
      so.
 6    When you have a problem, Rural
      Retailers shows a sincere interest in
      solving it.
 7    Rural Retailers performs the service
      right the first time.
 8    Rural Retailers provides its service at
      the time it promises to do so.
 9    Rural Retailers insists on error
                Responsiveness
10    Employees in Rural Retailers tell you
      exactly when services will be
      performed.
11    Employees in Rural Retailers give you
      prompt service.
12    Employees in Rural Retailers are
      always willing to help you.
13    Employees in Rural Retailers are
      never too busy to respond to your
      request.
                     Assurance
14    The behavior of employees in Rural
      Retailers instills confidence in you.
15    You feel safe in your transactions
      with Rural Retailers.
16    Employees in Rural Retailers area
      consistently courteous with you.
17    Employees in Rural Retailers have the
      knowledge to answer your questions.
                      Empathy
18    Rural Retailers gives you individual
      attention.
19     Rural Retailers has operating hours
      convenient to all its customers.
20    Rural Retailers has employees who
      give you personal attention.
21    Rural Retailers has your best interest
      at heart.
22    The employees of Rural Retailers
      understand your specific needs.
Your valuable suggestions for betterment of our shop
____________________________________________________________________________
____________________________________________________________________________
                                         THANKING YOU
The abstract format (use modified as per your
study)
Objective: The purpose of this study was to compare the quality of diabetes care provided to
American Indians/Alaska Natives (AI/AN) by urban and rural Indian health programs.
Design: Medical record review data collected by the Indian Health Service as part of the
Diabetes Care and Outcomes Audit in 2002.
Setting: Seventeen urban Indian health clinics and 225 rural Indian health programs.
Patients: All urban AI/AN patients (n 5 710) and random sample records of rural AI/AN
patients (n51420). Main Outcomes Measures: Adherence to guidelines for process measures
and interme-diate outcomes of diabetes care.
Results: Compared to the rural sample, urban patients were more likely to have received
diabetes education during the prior year (P#.05). Annual dental examinations were less
common among urban patients than rural patients (19% vs 41%, P#.001). Completion of
laboratory testing and immunizations were similar in both groups. Adjusted mean levels for
intermediate outcomes of diabetes care and the percentage achieving recommended levels
varied slightly but were not statistically or clinically significant.
Conclusions: Few differences in the quality of diabetes care were found between urban and
rural Indian health sites. Differences in the receipt of dental examinations may reflect
differences in resources and staffing between urban and rural settings. This study serves as
a baseline for the assessment of ongoing interventions aimed at improving the quality
of care.