Deactivate - Accommodation Evaluation

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* 1. Accommodation Type

Apartment (1 bedroom)

Apartment (2 bedroom)

House

Bed & Breakfast

Room & Board

Other (please specify):

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* 2. Satisfaction
On a scale of 1 to 5 (where: 1 = Very Poor, 2 = Poor, 3 = Neutral, 4 = Good and 5 = Excellent) please indicate your level of satisfaction with the following:

	1 - Very Poor	2 - Poor	3 - Neutral	4 - Good	5 - Excellent	N/A
Location	Location 1 - Very Poor	Location 2 - Poor	Location 3 - Neutral	Location 4 - Good	Location 5 - Excellent	Location N/A
Size	Size 1 - Very Poor	Size 2 - Poor	Size 3 - Neutral	Size 4 - Good	Size 5 - Excellent	Size N/A
Furnishings	Furnishings 1 - Very Poor	Furnishings 2 - Poor	Furnishings 3 - Neutral	Furnishings 4 - Good	Furnishings 5 - Excellent	Furnishings N/A
Supplies	Supplies 1 - Very Poor	Supplies 2 - Poor	Supplies 3 - Neutral	Supplies 4 - Good	Supplies 5 - Excellent	Supplies N/A
Utilities (Water / Furnace / Electrical / Waste Disposal)	Utilities (Water / Furnace / Electrical / Waste Disposal) 1 - Very Poor	Utilities (Water / Furnace / Electrical / Waste Disposal) 2 - Poor	Utilities (Water / Furnace / Electrical / Waste Disposal) 3 - Neutral	Utilities (Water / Furnace / Electrical / Waste Disposal) 4 - Good	Utilities (Water / Furnace / Electrical / Waste Disposal) 5 - Excellent	Utilities (Water / Furnace / Electrical / Waste Disposal) N/A
Cleanliness (On Arrival)	Cleanliness (On Arrival) 1 - Very Poor	Cleanliness (On Arrival) 2 - Poor	Cleanliness (On Arrival) 3 - Neutral	Cleanliness (On Arrival) 4 - Good	Cleanliness (On Arrival) 5 - Excellent	Cleanliness (On Arrival) N/A
Parking	Parking 1 - Very Poor	Parking 2 - Poor	Parking 3 - Neutral	Parking 4 - Good	Parking 5 - Excellent	Parking N/A
General Comfort	General Comfort 1 - Very Poor	General Comfort 2 - Poor	General Comfort 3 - Neutral	General Comfort 4 - Good	General Comfort 5 - Excellent	General Comfort N/A
Overall Impression	Overall Impression 1 - Very Poor	Overall Impression 2 - Poor	Overall Impression 3 - Neutral	Overall Impression 4 - Good	Overall Impression 5 - Excellent	Overall Impression N/A

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* 3. Additional Comments
Is there anything that you particularly liked or disliked about the accommodation?

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* 4. Contact and Accommodation Information

First Name: *

Last Name:

Accommodation Address 1:

Accommodation Address 2:

Accommodation Community: *

Accommodation Postal Code:

Email Address:

Phone Number: