* 1. I use the Hy-Vee lunch option approximately ____ times per week.

* 2. Are the hours of operation long enough?

* 3. Has the Hy-Vee staff been helpful and friendly when serving you?

* 4. Does the price of food items seem fair?

* 5. Overall is the food generally acceptable?

* 6. Would you like Hy-Vee to serve on Fridays?

* 7. Would you be willing to pre-order and pre-pay for menu items made special for you?

* 8. Which foods or types of foods would you like to have served more often?

* 9. Which foods or types of foods would you like to have served less often?

* 10. Please list any new or additional food items you would suggest be added to the choices.

* 11. Would you be in favor of a cook-out?

* 12. Please list things that Hy-Vee could do better from your point of view.

* 13. Please note one of the following:

* 14. Please select one of the following age groups.

* 15. OPTIONAL: Signature and phone number
Thank you for your time and responses.

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