Vending Comment Card
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Welcome

We are constantly striving to improve our service and
your input is highly valued. Please take a moment to fill
out this survey.

1. What type of vending machine did you use?

What type of vending machine did you use? Cold Drink

Snack

Cold Food

Coffee

2. What day and time, approximately, did you use the vending machine?

	MM		DD		YYYY		HH		MM	AM/PM
Date and Time:	What day and time, approximately, did you use the vending machine? Date and Time: Month	/	Day	/	Year		Hour	:	Minute	AM or PM

3. Where is the machine located?

Where is the machine located? Building:
Vending Machine Location:

4. Please Rate your vending experience on the following:

	Excellent	Good	Fair	Poor	Very Poor
Product Selection	*Please Rate your vending experience on the following: Product Selection Excellent	Product Selection Good	Product Selection Fair	Product Selection Poor	Product Selection Very Poor
Product Availability	Product Availability Excellent	Product Availability Good	Product Availability Fair	Product Availability Poor	Product Availability Very Poor
Vending Location	Vending Location Excellent	Vending Location Good	Vending Location Fair	Vending Location Poor	Vending Location Very Poor
Machine Reliability	Machine Reliability Excellent	Machine Reliability Good	Machine Reliability Fair	Machine Reliability Poor	Machine Reliability Very Poor
Quality	Quality Excellent	Quality Good	Quality Fair	Quality Poor	Quality Very Poor
Price	Price Excellent	Price Good	Price Fair	Price Poor	Price Very Poor
Overall Service	Overall Service Excellent	Overall Service Good	Overall Service Fair	Overall Service Poor	Overall Service Very Poor

5. What is your primary affiliation with Northwestern?

What is your primary affiliation with Northwestern? Faculty

Staff

Student

Resident

Other (please specify)

6. Comments:

Comments:

7. If you desire a response, please include your name
and e-mail address.

If you desire a response, please include your name and e-mail address. Name:
Email:

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