Refreshment Count Survey
Please help us improve our refreshment offerings by completing this survey about your recent experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Event or Session Name
*
Date of Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which types of refreshments did you consume? (Select all that apply)
*
Water
Juice
Soda
Coffee/Tea
Snacks (chips, cookies, etc.)
Fruit
Other
Please indicate how many of each refreshment you consumed:
*
Rows
Quantity Consumed
Water
Juice
Soda
Coffee/Tea
Snacks
Fruit
Other
How would you rate the quality of the refreshments provided?
*
1
2
3
4
5
How satisfied were you with the variety of refreshments?
*
Not satisfied
1
2
3
4
Very satisfied
5
1 is Not satisfied, 5 is Very satisfied
Which refreshment did you enjoy the most?
*
Water
Juice
Soda
Coffee/Tea
Snacks
Fruit
Other
Are there any refreshments you would like to see added in the future?
Do you have any additional comments or suggestions about the refreshments?
Submit Survey
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