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Questions marked with a * are required Exit Survey
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
* Will you except students under 18 years of age?
 
Yes
 
No
 
Maybe
 
 
 
* Will you except long term students (more than 3 months) ?
 
Yes
 
No
 
Maybe
 
 
 
* Will you accept couples?
 
Yes
 
No
 
Maybe
 
 
 
* Will you accept males or females
 
Males and Females
 
Males only
 
Females only
 
 
 
*

Will you accept any nationality? Yes or No.

   
* If you have preference please specify:
   
 
 
 
*

Will you cater for Vegetarians?

 
Yes
 
No
 
Maybe
 
 
 
* Will you cater for other special dietary requirements?
 
Yes
 
No
 
Maybe
 
 
 
* Do you allow smoking?
 
Yes
 
No
 
 
 
 
* Do you have pets?
 
No
 
Yes. Please specify: