Satisfaction with:
Room
Highly
Satisfied
7
Highly
Unsatisfied
1
NA
TV and Remote
Sink(s) and Toilet(s)
Bathtub and Shower
Temperature Control
Quietness of Room
Smell/room odor
Bed
Room decor
Guestroom Furnishings
Paint & Wall Vinyl
Carpet & Flooring
Maintenance
Did you experience a maintenance problem during your stay?
Yes
No
Did you report this problem?
Yes
No
Highly
Satisfied
7
Highly
Unsatisfied
1
NA
If reported, how well was it resolved?
Hotel
Highly
Satisfied
7
Highly
Unsatisfied
1
NA
The hotel was in good physical condition
Inviting outside appearance of the hotel
Overall value
OVERALL STAY
Highly
Satisfied
7
Highly
Unsatisfied
1
NA
Overall positive experience
Overall very satisfied
Supposing I was here again, I would stay at this hotel
Purpose of your visit
Convention or Group
Business
Pleasure or Leisure
Last day of stay was a
Weekend
Weekday
On average, what was your approximate nightly room rate?
$0 - $99
$100 - $149
$150 - $199
$200 - $249
$250 or higher
Additional Comments
Name:
Daytime Phone
Address
Email Address
Room No