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*Do you use a wheelchair or scooter for mobility?
Yes
No
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*Did you accompany someone who uses a wheelchair or scooter to the Kmart store?
Yes
No
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*Please complete at least one of the following questions or comments:
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| General comments: |
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Parking:
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Do you require accessible parking?
Yes
No
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Were you able to find accessible parking?
Yes
No
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| If not, why not?: |
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Was the aisle next to your parking space unobstructed?
Yes
No
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| Comment about parking: |
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Sidewalks:
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Were you able to access the merchandise displayed on the sidewalk?
Yes
No
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Were you able to use the sidewalk to get to the store entrance?
Yes
No
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| Comments about the sidewalk: |
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Clothing departments:
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Did you shop for clothing during this visit to Kmart?
Yes
No
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| If so, in what department(s)? |
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Were there paths of approximately 32 inches to at least one side of each clothing rack?
Yes
No
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| Comments on clothing departments: |
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Other merchandise:
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Did you shop for non-clothing items during this visit to Kmart?
Yes
No
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| If so, in what department(s)? |
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Were you able to access the items you wanted to shop for?
Yes
No
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| If not, why not? |
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Was your access to merchandise obstructed by anything in the aisles, for
example, boxes or equipment?
Yes
No
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If so, was a Kmart employee working with the boxes or equipment or away from the boxes or equipment only briefly, for example, to assist another customer?
Yes
No
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| Comments on non-clothing departments: |
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Fitting rooms:
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Did you use an accessible fitting room during this visit?
Yes
No
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Was the accessible fitting room clear and unobstructed?
Yes
No
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Did you have any problems using the accessible fitting room?
Yes
No
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| If so, please explain: |
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| Comments on the fitting room: |
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Restrooms:
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Did you use an accessible restroom during this visit?
Yes
No
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Was the accessible restroom clear and unobstructed?
Yes
No
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Did you have any problems using the accessible restroom?
Yes
No
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| If so, please explain: |
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| Comments on the restroom: |
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Restaurant:
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Did you eat at the restaurant during this visit?
Yes
No
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Did you have any problems accessing the counter in the restaurant?
Yes
No
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Did you have any problems using the soda, condiment or tableware dispensers in the restaurant?
Yes
No
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Did you have any problems accessing the tables or seats in the restaurant?
Yes
No
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| If so, please explain: |
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| Comments on the restaurant: |
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Customer Service Counter:
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Did you use the Customer Service Counter during this visit?
Yes
No
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Were you able to get to the Customer Service Counter through any lanes set up to direct the line?
Yes
No
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Did the Customer Service Counter have an accessible area (approximately 36 inches high)?
Yes
No
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Was the accessible area clear and unobstructed?
Yes
No
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| Comments on the customer service counter: |
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Other counters (jewelry, photo, electronics, layaway, etc.):
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Did you use any other counters (besides customer service and checkout lanes) during this visit?
Yes
No
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| Which counter(s) did you use? |
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Were you able to get to the counter?
Yes
No
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Did the counter have an accessible area (approximately 36 inches high)?
Yes
No
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Was the accessible area clear and unobstructed?
Yes
No
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| Comments on the counter: |
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Checkout lane:
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Did you use a checkout lane near the front of the store during this visit?
Yes
No
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Did the store have one or more checkout lanes with signs indicating that they were accessible?
Yes
No
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Was at least one accessible checkout lane open?
Yes
No
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| Comments on the checkout lanes: |
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Customer service:
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Did you interact with any Kmart employees during this visit?
Yes
No
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Did Kmart employee(s) provide adequate assistance to you?
Yes
No
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| Comments concerning customer service of Kmart employees: |
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