1.

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

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* 1. Your contact information

When were you here?

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* 2. When were you here?

Date
Please Check

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* 3. Please Check

Please Rate the Following

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

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

What facilities did you use at the Travel Center?

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

Overall Rating of Your Experience.

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* 7. Overall Rating of Your Experience.

Comments

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* 8. Comments

T