Protest Evaluation form

Standard form #27B/jPlease take a few minutes to fill out thisquestionaire. All answers will be keptconfidental and are used only for researchpurposes.
1: How did you hear about us? __________________________________________
2: Did you enjoy your overall experience? ___ Yes ___ No If not, why not? _________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
3: Is this your first protest with this (office)? ___ Yes ___ No
4: On a scale of 1 to 10, please rate the following aspects of our service: (circle one)Representative access 1 2 3 4 5 6 7 8 9 10
Employee politeness 1 2 3 4 5 6 7 8 9 10
Toilet availability 1 2 3 4 5 6 7 8 9 10
Snacks 1 2 3 4 5 6 7 8 9 10
Parking 1 2 3 4 5 6 7 8 9 10
5: Would you come back and protest again? ___ Yes ___ No
6: How can we make future protests more fulfilling for you? ______________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Thank you for your time. Your answers will help (this office) become more responsive toprotester needs as part of our service goals.