Hospitality Survey Date* MM slash DD slash YYYY Time Visited* Name* First Last Email* Employee Name Courtesy*PoorFairGoodVery GoodExcellentService*PoorFairGoodVery GoodExcellentCleanliness*PoorFairGoodVery GoodExcellentExperience*PoorFairGoodVery GoodExcellentAdditional FeedbackCAPTCHA