* 1. Date and Time:

Date & Time:
/
/
:

* 3. Was the Rest Area:

  Yes No
Clean
Safe
Convenient

* 4. Rate the following at this rest area:

  Poor Average Excellent
Parking Lots
Rest Rooms
Grounds
Picnic Facilities
Lighting
Vending
Sidewalks
Overall

* 5. Would you like to see the following at this site:

  Yes No Waste of Money
Wireless internet
Weather information
Travel information
Tourist information

* 6. How many minutes were spent in the rest area?

* 7. I'm driving:

* 8. Contact Information(optional):

* 9. Thank you for taking our survey. You may list any additional comments below:

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