1.

Please take a moment to tell us about your visit.
THANK YOU FROM JUBITZ CORPORATION!

* 1. Your contact information

* 2. When were you here?

Date
/
/
:

* 3. Please Check

* 4. Please Rate the Following

  N/A Poor Good Excellent
Friendliness of Staff
Service
Quality of Food or Drink
Menu / Product Selection
Price / Value of Selection
Cleanliness
Payment Process
Security
Problem Solving

* 5. What facilities did you use in the Portlander Inn and MarketPlace?

* 6. What facilities did you use at the Travel Center?

* 7. Overall Rating of Your Experience.

* 8. Comments

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