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Questions marked with a * are required Exit Survey
 
 
*  
 
Yes
 
No
 
Unsure
 
 
 
Comment
   
 
 
 
Comment:
   
 
 
 
*  
 
$0 - $200 (+$10 per month)
 
$201 - $500 ($10 per month)
 
$500
 
$1000 or over
 
Specific price
 
 
 
*  
 
Yes
 
No
 
 
 
*  
 
Not Important
 
Moderately Important
 
Highly Important
 
 
 
*  
 
Not Likely
 
Moderately Likely
 
Highly Likely
 
 
 
*  
 
0-1 years
 
1 -2 years
 
3- 5 years
 
Or specify timeframe
 
 
 
*  
 
Not Likely
 
Moderately Likely
 
Highly Likely
 
 
 
*  
 
Not Important
 
Moderately Important
 
Highly Important