1st Synergy Visit Survey Question Title * 1. When you entered Synergy where you greeted in a timely manner? Yes No OK Question Title * 2. On a Scale of 1 -100 (100 being the highest) how would you rate the taste of your Shake at Synergy? 1 50 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 3. On a Scale of 1 -100 (100 being the highest) how likely are you to refer your friends or family to Synergy? 1 50 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 4. Where all of your questions answered completely during your visit? Yes Not Completely NO OK Question Title * 5. Did one of the coaches at the counter explain the Bring 3 Get 1 FREE program on how you can earn FREE Shakes for sending referrals in? Yes No OK Question Title * 6. Would you be interested in any Healthy Active Lifestyle opportunities at SYNERGY? FIT Camp Yoga Dance Cardio Weight Loss Challenges None of the Above OK Question Title * 7. Would you like to recognize anyone that made your visit extra special? If so enter their name or description below. OK Question Title * 8. On a scale of 1-100 (100 being the highest) how would you describe the environment at Synergy? (cleanliness, energy,music, friendliness, etc.) 1 50 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 9. Do you have any feedback that would help us improve your next visit to Synergy? OK Question Title * 10. We appreciate your Time and Honesty on our Survey and we would like to reward you with $2 off your next Shake at Synergy. Please list your preferred method to receive your coupon? (Email or Text) and please enter your accurate Email or Phone Number. OK DONE