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  To serve you, please fill out the following survey. For each question rate us from 1 (Lowest) to 5 (Highest), then click the submit button when you are finished. Thank you for your time.
 
 
 
Ratings:
1-Very Dissatisfied
2-Dissatisfied
3-Neither Satisfied/Dissatisfied
4-Satisfied
5-Very Satisfied
 
  Route Service Person:
  Quality of Food:
  Variety of Food:
  Ease of Refund:
  Clean and Working:
  Price Value Relationship:
 
  Please indicate on average how often you use our food and vending machines.
 
Ratings:
1- Less than once a week
2- 1-2 Times/Week
3- 3-4 Times/Week
4- 5-9 Times/Week
5- 10+ Times/Week
 
  Vending Machines:
  Food Machines:
  Machine Location:
 
  Name:
  Phone: Ext:
  Email:
  Would you like to be contacted regarding this survey?