Shopper Signup

Shoppers, please fill in the form below to sign up with Campus Consulting Mystery Shopping Services.

*fields requiring a response.

*First Name
Middle Initial
*Last Name
*Title
*Street Address
*City
*State
*Zip/Postal Code
*Country
Work Phone
*Home Phone	FAX:

*EMAIL:	Enter one email address only in this box. Do not type anything else in this box. If you need to comment on an email address, please do so in the comment box below.

How often do you check your e-mail? (once a day, several times a day, several times a week, etc.)

URL
*Sex
Race	(optional: this is for clients requesting minority shoppers in order to learn how they are treated)
Birth Date	use format mm/dd/yyyy

What is your occupation?

Education: (choose one of the following options)

Other areas of training:

Do you have Mystery Shopping Experience?

If yes, explain your Mystery Shopping experience.

Have you had any Mystery Shopping training?

If yes, please explain your Mystery Shopping training.

Do you have a Digital Camera?

Do you have a Picture Cell Phone?

Have you ever mystery shopped with hidden video equipment? (moving pictures, not stills)

If YES, please explain.

Can you do a hidden video mystery shop with your own equipment? (moving pictures, not stills)

*Please enter the cities and towns you can shop.

How did you find our website?
Internet Site (please specify website), Advertisement (please specify ad location), Search Engine, etc.

*Please write a three or four sentence paragraph explaining why you would be a good mystery shopper for us:

Click the Submit button once.

	Our Services will measure your customers' experience using shopping and surveying techniques.
	What is Mystery Shopping? It is the assessment of customer service by professional shoppers posing as customers.
	About Us For 20 years, we have developed custom mystery shopping programs for retail stores with specific needs.