Young & Associates Secret Shopper Application
  1. Please fill out ALL of the following information.
  2. First Name:*
    Please type your First Name.
  3. Last Name:*
    Please enter your Last Name.
  4. E-mail Address:*
    Please enter a valid email address.
  5. Street Address or P.O. Box*
    Please input a valid street address.
  6. City:*
    Please input a valid City.
  7. State:*
    Please select a state.
  8. Zip/Postal Code:*
    Please enter a valid zip code.
  9. Home Phone:*
    Please enter a valid number (ex. 123-456-7890)
  10. Work Number:
    Please enter a valid Work Number (ex. 123-456-7890)
  11. Can we contact you at work?*
    Invalid Input
  12. Age:*
    Please input a valid age.
  13. Do you have access to a vehicle?
    Invalid Input
  1. Select a the locations you would be willing to shop on a regular basis without extra payment for travel. (i.e. on your way to work, neighboring towns, etc.)
    Invalid Input
    Select Multiple by hold the CTRL button and click on each city.
  2. Level of Education:*
    Please select one.
  3. Current Employer - Briefly describe your current job (Industry, Title, Duties):*
    Please describe your current job.
  4. Briefly describe an experience that you think would make you a good Secret Shopper:*
    Please describe what makes you a good Secret Shopper.
  5. Let's see how good you are at describing customer service. Fill in a summary of the best and worst service that you (or someone you know) experienced.
  6. Best:*
    Describe you best experience.
  7. Worst:*
    Describe your worst experience.
  8. When are you available?
    Invalid Input
  2. Gender:*
    Please select a gender.
  3. Age Group:*
    Please select a valid age group.
  4. Education:*
    Select a level of education.
  5. Household Income:*
    Select a Household income.
  6. Internet Usage/Experience:*
    Select the amount of internet usage experience.
  7. NOTE: Any and all information collected by Young & Associates is kept in strict confidence within a secure database accessible by our internal office staff. Young & Associates collects the information listed above solely for the purpose of selecting shoppers to conduct customer service assessments for its restaurants.

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