Coworking Space Member Feedback Check-in Form
Please provide your feedback to help us improve your coworking experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Visit
*
Work/Desk Use
Meeting/Collaboration
Event/Workshop
Networking
Other
Which areas did you use during your visit? (Select all that apply)
*
Open Workspace
Private Office
Meeting Room
Kitchen/Cafe
Lounge/Common Area
Phone Booth
Other
Please rate your overall satisfaction with the coworking space
*
1
2
3
4
5
Please indicate your satisfaction with the following aspects:
*
Rows
Cleanliness
Comfort
Wi-Fi Quality
Staff Helpfulness
Noise Level
Amenities (e.g., coffee, printing)
Very Dissatisfied
1
2
3
4
5
6
Dissatisfied
7
8
9
10
11
12
Neutral
13
14
15
16
17
18
Satisfied
19
20
21
22
23
24
Very Satisfied
25
26
27
28
29
30
What did you like most about your experience today?
What can we improve? Please share any suggestions or concerns.
Submit Feedback
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