Name of Client:

E-mail:

Postal Address:

Room No:

Check-in date:

Check-out date:

Phone Number:

Tick Where appropriate in response to the statements below

Which medium did you use to select hotel?

   1. Internet        2. Television        3. Print Media e.g. Newspaper        4. Friends        5. Others    

	Excellent	Good	Fair	Poor
Front Office
Staff courtesy
Staff Response
Check in
Check out
Travel Desk
Door Man
Food and Beverage
Restaurant Ambiance
Staff Courtesy
Staff Response
Quality of Food
House Keeping
Cleanliness of the Room
Staff Courtesy
Room Size

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