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
    
 
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 visitConvention or Group Business Pleasure or Leisure
Last day of stay was aWeekend Weekday
On average, what was your approximate nightly room rate?$0 - $99 $100 - $124 $125 - $149 $150 - $174 $175 or higher
Additional Comments
Name:
Daytime Phone
Address
Email Address
Room No