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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 age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
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
 
 
 
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
 
 
 
How would you rate your overall dining experience with us?
 
Highly dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Somewhat satisfied
 
Highly satisfied
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
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