Customer Feedback Form

Welcome: 5 = Friendly 1 = Unfriendly	5 4 3 2 1
5 = Efficient 1 = Slow	5 4 3 2 1
Service: 5 = Friendly 1 = Unfriendly	5 4 3 2 1
5 = Efficient 1 = Slow	5 4 3 2 1
Quality Of Food: 5 = Excellent 1 = Poor	5 4 3 2 1
Quality Of Drink: 5 = Excellent 1 = Poor	5 4 3 2 1
Value For Money: 5 = Excellent 1 = Poor	5 4 3 2 1
Atmosphere: 5 = Excellent 1 = Poor	5 4 3 2 1
Variety: 5 = Excellent 1 = Poor	5 4 3 2 1
Have you enjoyed your time at the MED?
If Yes, why?: Press and Hold CTRL while clicking to select multiple options.
Other:
If Not, what can we do better?:
How often do you visit the MED?	Daily Weekly Monthly 1st Time
How long on average do you spend at the MED?	Under 30mins 30mins to 1hr 1hr to 2hrs 2hours+
Do you?	Live Locally Work Locally Live and Work Locally
Name:
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Are These?:	Work Details Home Details
Age Group:	Under 18 18 - 25 25 - 32 32 - 44 44 - 60 60+