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Questions marked with a * are required Exit Survey
 
 
* Have you ever filled in a survey?
 
Yes.
 
No.
 
I do not remember.
 
 
 
* If you signed up for a newsletter which topics would you be interested in?
 
Travel
 
Home
 
News
 
Culture
 
Technology
 
Science
 
IT

 
 
 
* Please rank the following in order of interest:
Drag your choices here to rank them
     
     
    Contact Information
    * First Name : 
    * Last Name : 
    Phone : 
    * Email Address : 
     
     
     
    * Please choose today's date.
    DayMonthYear
      
     
     
    How did you like the coffee in these places?
    Dislike Not so memorable Average Cool
    * Office
    * Bean
    * T&P
     
     
    How satisfied are you with your workplace?
    * Ergonomic
    * Atmosphere
    * Surrounding area
     
     
     
    * Please type the name of your favourite fruit in the box below.