Your Name:       

Date of visit:     

Time of visit:     

    1 = poor        2 = fair        3 = good        4 = very good        5 = excellent

Was the information given to you 
 helpful in booking the room?                       1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Cost of rental:                                               1 = Reasonable 3 = What I expected 5 = Too high Not Applicable

Was the staff helpful and courteous?           1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Was the room easy to locate?                      1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Was the room comfortable?                         1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Was the room setup as requested?             1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Cleanliness of the restrooms:                      1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Please rate your overall experience:          1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

Will you use the Alcott Center again?         1 = no 3 = maybe 5 = yes Not Applicable

We welcome any suggestions, comments or concerns about the Alcott Center.  Please write additional comments about all items you rated "poor" or "fair" in the space below.

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