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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 3 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
 
 
 
How likely are you to recommend our restaurant to a friend?
 
Very unlikely
 
Somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
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