Satisfaction Services, Inc. - Client Contact Form

New Evaluator Sign Up

Please fill out the form. All fields with an asterisk (*) are required.

Please be as detailed as possible in your responses.

By accepting an Assignment through, or from Satisfaction Services, Inc. or any of its affiliates, you agree to hold them and their client’s harmless from any and all liability relating to that assignment other than the amount offered in payment to you for successful completion of the assignment to Satisfaction Services, Inc’s standards. You further agree you will not enter into any litigation or suit against Satisfaction Services, Inc or its affiliates or its clients for any reason. Thank you and we look forward to working with you.

First Name *
Last Name *
Promo Code (if any)
Address *
City *
State *
Zip *
Country *
EMail Address *
Home Phone *
Work Phone
Cell Phone
Please tell us any Additional Information about yourself such as what types of businesses you are able to evaluate.
Password Hint Question
Password Hint Answer

Gender	Male Female
Preferred Phone	Home Work Cellphone
What is the best time to contact you?	Any Morning Afternoon Evening
How many miles would you travel to do an assignment? Please enter numbers (1 -50) only.
Age Group:	Under 18 18-20 21-29 30-39 40-49 50-59 60-69 70-79 80-89 90 +
Have you ever Mystery Shopped before?	Yes No Not Known
If you have mystery shopped, what type of shops did you visit?
Do you have a job other than Mystery Shopping?	Yes No Not Known
If you do have another job, what hours do you work?
What is the metropolitan area that you live in?
Do you wear Eyeglasses or Contacts?	Yes No Not Known
Do you have a digital camera?	Yes No Not Known
Have you ever completed Identification Verification Evaluations for Alcohol or Tobacco Compliance?	Yes No Not Known
Are you interested in participating in these types of evaluations in the future?	Yes No Not Known
Do you use Tobacco products?	Yes No Not Known
Are you comfortable completing alcohol related evaluations?	Yes No Not Known
Do you workout at a gym regularly (3-4 times a week)?	Yes No Not Known
If so, what is your regular type of exercise routine?
Do you participate in activities that require athletic foot wear and apparel?	Yes No Not Known
If so, how often do you purchase athletic foot wear or apparel for your own use?
What type of music do you listen to or like?
Do you go out to bars or nightclub's?	Yes No Not Known
Would you fit in to a Hip-Hop/Urban atmosphere/clothing store?	Yes No Not Known
Please choose one to best describe your style:	Conservative Casual Trendy Athletic Urban
What activities do you participate in?	Arcades Art Bars Bowling Concerts Health Clubs Hotels Movie Theaters Night Clubs Theaters and Plays Restaurants Retail Stores Salon's Spa's Sports Theme Parks


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