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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 favorite hobby or interest?
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other
 
 
 
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 of the following categories best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
 
 
 
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 many children do you have?
 
no children
 
1 child
 
2 children
 
3 children
 
more than 4 children
 
 
 
How would you describe yourself?
 
Democratic
 
Republican
 
Independent
 
None of the above
 
 
 
Please select your Hobbies and Interest
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other

 
 
 
Was your room clean, comfortable and properly supplied?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
How would you rate our concierge service?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
Were the valets and bellman courteous and helpful?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
For which of our locations are you completing this survey?
 
{LOCATION 1}
 
{LOCATION 2}
 
{LOCATION 3}
 
 
 
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
 
 
 
Did your checkout service go smoothly?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
How would you rate your overall dining experience with us?
 
Highly dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Somewhat satisfied
 
Highly satisfied
 
 
 
How would you rate your server's knowledge of the menu?
 
Very unknowledgeable
 
Unknowledgeable
 
Neutral
 
Somewhat knowledgeable
 
Very knowledgeable
 
 
 
Is this restaurant in a convenient location for you?
 
Yes
 
No
 
 
 
How likely are you to recommend our restaurant to a friend?
 
Very unlikely
 
Somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
 
 
How would you rate the menu selection?
 
Would like to see more menu options
 
Would like to see less menu options
 
 
 
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
 
 
 
Was your service on arrival prompt and courteous?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
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
 
 
 
Where do you purchase our products? Select all that apply.
 
In our store
 
Online
 
Telephone order/catalogue
 
Through a dealer
 
Through an agent
 
Through a wholesaler
 
Other
 
 
 
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 often would you like to receive our newsletter?
 
Weekly
 
Every two weeks
 
Monthly
 
Quarterly
 
Semi-annually
 
Annually
 
 
 
How much of our newsletter do you read?
 
A quarter or less
 
From a quarter to half
 
Half to three-quarters
 
More than three-quarters
 
 
 
What is your overall satisfaction with the newsletter?
 
Very satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
 
How relevant do you find the information in the newsletter?
 
Very relevant
 
Somewhat relevant
 
Neutral
 
Somewhat irrelevant
 
Very irrelevant
 
 
 
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
 
 
 
In general, how satisfied are you with our new product?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How likely are you to recommend our new service?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How well do the employees at our company protect your privacy?
 
Extremely well
 
Very well
 
Moderately well
 
Slightly well
 
Not at all well
 
 
 
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 long did you have to wait before a customer service representative was able to help you?
 
Extremely long
 
Very long
 
Moderately long
 
Slightly long
 
Not at all long
 
 
 
How likely are you to recommend our company?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How successful was the software in performing its required task?
 
Extremely successful
 
Very successful
 
Moderately successful
 
Slightly successful
 
Not at all successful
 
 
 
Overall, are you satisfied with the performance of the software?
 
Extremely satisfied
 
Moderately satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Moderately dissatisfied
 
Extremely dissatisfied
 
 
 
Considering the value you have received, do you think the price of our software is:
 
Much too high
 
Somewhat too high
 
Slightly too high
 
About right
 
Slightly too low
 
Somewhat too low
 
Much too low
 
 
 
How likely are you to recommend our software to others?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How intuitive is our software's user interface?
 
Extremely intuitive
 
Very intuitive
 
Moderately intuitive
 
Slightly intuitive
 
Not at all intuitive
 
 
 
How often does the software crash?
 
Extremely often
 
Very often
 
Moderately often
 
Slightly often
 
Not at all often
 
 
 
How capable is the customer support for our software?
 
Extremely capable
 
Very capable
 
Moderately capable
 
Slightly capable
 
Not at all capable
 
 
 
How likely are you to use our company again in the future?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
Compared to our competitors, how effective is our software?
 
Much more effective
 
Somewhat more effective
 
Slightly more effective
 
About as effective
 
Slightly less effective
 
Somewhat less effective
 
Much less effective
 
 
 
How frequently do you use our products?
 
Extremely frequently
 
Very frequently
 
Moderately frequently
 
Very infrequently
 
Not at all frequently
 
 
 
Was the difficulty of the course in line with your expectations?
 
Yes
 
No
 
Maybe