Date:

Name and/or Room No.:

E-mail:

Sex: Male Female

Age group: 18-25 26-35 36-45
46-55 56-65 66+

Purpose of visit: Business Leisure Meeting
Tour Celebration

Length of stay: 1 night 2-4 nights 5+ nights

Level of satisfaction: High Average Low

Welcome on arrive: High Average Low
Reception staff service: High Average Low
Cleanliness of your room: High Average Low
Overall breakfast experience: High Average Low
Overall restaurant experience: High Average Low

Any recommendations and advices:

Code: