Boo Street Survey
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Boo Street Holiday Magic Show Questionnaire

Thank you for attending our Halloween Magic Show!

We appreciate your support and value your opinions and comments!

Please answer a couple of quick questions below to be entered for the chance to WIN A FREE Power ToothBrush:

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1. Have you been to our Halloween Magic Shows before?

Have you been to our Halloween Magic Shows before? Yes

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2. Please rank your satisfaction with our show from 1-5 (1 being lowest, 5 being highest)

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Extremely Satisfied
This Year's Show... I was:	*Please rank your satisfaction with our show from 1-5 (1 being lowest, 5 being highest) This Year's Show... I was: Very Dissatisfied	This Year's Show... I was: Dissatisfied	This Year's Show... I was: Neutral	This Year's Show... I was: Satisfied	This Year's Show... I was: Extremely Satisfied

3. If you did not rank us a "5", please explain: (There are no wrong comments here)

If you did not rank us a "5", please explain: (There are no wrong comments here)

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4. Would you recommend our show to your friends and family?

Would you recommend our show to your friends and family? Yes

Maybe

5. OPTIONAL: Please provide your contact information for a chance to win a FREE Power ToothBrush and/or to receive magic show and/or dental office information:

OPTIONAL: Please provide your contact information for a chance to win a FREE Power ToothBrush and/or to receive magic show and/or dental office information: Name:
Phone Number:
EMail:

6. If you would like to receive information in the future... please select the options you would like to learn more about:

If you would like to receive information in the future... please select the options you would like to learn more about: Future Magic Shows

Dental Office Specials

Other (please specify)

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