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Exit Survey
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is the highest level of education you have achieved?
 
Less than high school degree
 
High school degree or equivalent (e.g. GED)
 
Some college but no degree
 
Associate degree (e.g. AA, AS)
 
Bachelor's degree (e.g. BA, AB, BS)
 
Master's degree (e.g. MA, MS, MBA)
 
Professional degree (e.g. MD, DDS, JD)
 
Doctorate degree (e.g. PhD)
 
 
 
Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
How well did our staff respond to your needs?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
If you return to this location, would you choose to stay with us again?
 
Yes
 
No
 
 
 
How would you rate your server's knowledge of the menu?
 
Very unknowledgeable
 
Unknowledgeable
 
Neutral
 
Somewhat knowledgeable
 
Very knowledgeable
 
 
 
How would you rate the menu selection?
 
Would like to see more menu options
 
Would like to see less menu options
 
 
 
Is this restaurant in a convenient location for you?
 
Yes
 
No
 
 
 
How likely are you to return to our restaurant?
 
Very unlikely
 
Somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
 
 
How prompt was your service?
 
Prompt
 
Not prompt
 
 
 
How would you rate the overall food quality and freshness?
 
Below Expectations
 
Neutral
 
Meets expectations
 
Exceeds expectations
 
 
 
How long have you been dining at our restaurant?
 
Less than 1 month
 
1 month to less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years or more
 
 
 
How many times have you stayed with our hotel?
 
Once
 
2-3 times
 
4-5 times
 
6 times or more
 
 
 
How long have you used our products?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
 
How frequently do you purchase from us?
 
Every day
 
Every week
 
Every 2 - 3 weeks
 
Every month
 
Every 2 - 3 months
 
Every 4 - 6 months
 
Once or twice a year
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
Comment:
 
 
 
How likely are you to continue using our products?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
How do we rate in comparison to other companies that offer the same products?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
How likely are you to continue doing business with us?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How likely you would recommend our products to a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How satisfied were you with your last interaction with our company?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How helpful is our company with your needs or questions?
 
Extremely helpful
 
Very helpful
 
Moderately helpful
 
Slightly helpful
 
Not at all helpful
 
 
 
How does our product quality compare to similar products on the market?
 
Much better
 
Slightly better
 
About the same
 
Slightly worse
 
Much worse
 
 
 
How does our service quality compare to services offered by our competitors?
 
Much better
 
Slightly better
 
About the same
 
Slightly worse
 
Much worse
 
 
 
In general, how satisfied are you with the employees you interacted with?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How knowledgeable were the customer service representatives you interacted with?
 
Extremely knowledgeable
 
Very knowledgeable
 
Moderately knowledgeable
 
Slightly knowledgeable
 
Not at all knowledgeable
 
 
 
How clear was the information the customer service representatives provided you?
 
Extremely clear
 
Very clear
 
Moderately clear
 
Slightly clear
 
Not at all clear
 
 
 
How eager were the customer service representatives to help you?
 
Extremely eager
 
Very eager
 
Moderately eager
 
Slightly eager
 
Not at all eager
 
 
 
How intuitive is our software's user interface?
 
Extremely intuitive
 
Very intuitive
 
Moderately intuitive
 
Slightly intuitive
 
Not at all intuitive
 
 
 
Was the difficulty of the course in line with your expectations?
 
Yes
 
No
 
Maybe
 
 
 
I receive enough opportunity to interact with other employees on a formal level.
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
I have a clear path for career advancement?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
My job requirements are clear
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Which of the following best describes your reason for taking the course?
 
Major/minor requirement
 
Major elective course
 
General education
 
University elective
 
 
 
What year of school are you in?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Graduate student
 
 
 
Would you recommend this course to other students?
 
Yes
 
No
 
If no, why not?
 
 
 
Would you take another course taught by this professor?
 
Yes
 
No
 
Maybe
 
 
 
Rate the amount of work you did
 
Almost none
 
What was assigned
 
More than just what was assigned
 
 
 
Rate the level of your involvement in the activities of this course.
 
Very uninvolved
 
Somewhat involved
 
Enthusiastically involved
 
 
 
How much practical knowledge have you gained from this course?
 
A great deal
 
Some practical knowledge
 
None
 
 
 
The course objectives where clear
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
The course procedures and assignments support course objectives
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
What overall rating would you give the course?
 
Excellent
 
Good
 
Average
 
Poor
 
Very Poor
 
 
 
Could you get clear answers to your questions from the instructor?
 
Never
 
Sometimes
 
Usually
 
Most of the time
 
Always
 
 
 
Was the instructor effective in teaching in the course?
 
Never
 
Sometimes
 
Usually
 
Most of the time
 
Always