Internal Store Survey (QSC) Quality, Service, Cleanliness used internally to quantify store performance Store*MontroseGreat BendNew MilfordDushoreNicholsonTunkhannock 6LenoxTunkhannock 8Lake WinolaPikes CreekTroyMansfieldTiogaLeroyCantonName of Person Completing Survey* First Name of person completing surveyDate Date Format: MM slash DD slash YYYY Time : HH MM AM PM Person in Charge* First Name of designated PICProduct Availability (1) Pizza (1) Roller Grill (1) Grab-N-Go (1) Coffee (1) Fresh Bakery Select all that are available at time of visit.Quality of Food Available (1) Meets Standards (0) Improvement Needed Not Observed CommentsSpeed of Service (1) Meets Standards (0) Improvement Needed Not Observed CommentsProper Labeling (1) YES (0) NO Are ALL products properly labeled? Retail and Prep?CommentsProper Product Preparation (1) YES (0) NO Not Observed Are ALL products properly made including subs. CommentsProper Food Safety Procedures being followed (1) YES (0) NO Not Observed Handwashing, Glove Use, Temperature Checks, Cleaning and Sanitizing, Food Handling CommentsTotal Points (Out of 10)Add all points from above. Max is: 10
