MOTEL EVALUATION FORM
Please fill out this form to evaluate the motels you stay in when on the road. Items with astrick must be filled in. If you can upload a picture, it would help. Add directions in the text box and any other comments you may have.
First Name
*
Last Name
*
E-mail
*
Motel
*
Best Western
Best Value
Comfort Inn
Clarion
Days Inn
Holiday Inn
Holiday Inn Express
Howard Johnson
Knights Inn
La Quinta
Microtel
Ramada
Red Roof Inn
Sleep Inn
Super 8
Travelodge
Wingate
Other
City
*
ST/PROV
*
AL
AZ
AR
CA
CO
CT
DE
FL
GA
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
BC
MB
NB
NF
NT
NS
ON
PE
PQ
SK
YT
Corporate Lodging
CLC Motel
Non-CLC Motel
Piggyback Parking
*
Plenty
Good
Limited
BT Only
None
Driver Comments
Submit Picture
Submit
Clear Form
Should be Empty: