At Crocodile Rock we wish to provide customers with a comprehensive range of prompt and efficient services. Please take 5 minutes to complete our customer satisfaction survey and help us maintain our reputation as one of the best restaurants in the area.

Tell us about your visit to Crocodile Rock
1. How often, on average, do you visit this restaurant? (e.g. of a single response drop-down) --Click Here--DailyTwice a weekWeeklyMonthly 2. How many people were in your party today? (e.g. of an open ended numeric response with auto total)   Adults   Children   Total		3. Which of the following items have your ordered? (Select from 1 to 4 items) (e.g. of a multiple response question - the list of replies randomized with a min of 1 and a max of 4 answers) Hamburger   Ice cream French fries   Coffee/tea Pizza   Soft drink Salad   Other items   What other item did you order? (e.g. only asked if "Other Items" selected in Q4) 4. How much did you spend in total on Q3? (e.g. of Text Substitution - answers from Q3 placed in Q4 text) $

5. Which item(s) would you remove from the menu? (e.g. of Exclusive Response - "None of the above" will uncheck any other options selected) Hamburger   Ice cream French fries   Coffee/tea Pizza   Soft drink Salad   None of the above

How would you rate your last visit?
6. SATISFACTION Please rate how satisfied or dissatisfied you are with each of the following. 1 = Totally Dissatisfied  to  5 = Totally Satisfied (e.g. of a side-by-side Grid Question)   1   2   3   4   5   Speed of service           Cleanliness           Parking           Quality of food           Choice of food		IMPORTANCE Now please indicate how important or unimportant these aspects are to you. 1 = Not important  to  5 = Extremely Important (e.g. of a side-by-side Grid Question)   1   2   3   4   5   Speed of service           Cleanliness           Parking           Quality of food           Choice of food

7. Please rank the following in order of importance from 1 = least important to 5 = most important. (e.g. of ranking - each ranking option (1 to 5) may only be chosen once)   Speed of Service   Cleanliness   Parking   Quality of food   Choice of food

8. How do you rate the overall performance of this restaurant? (use a score of 10 for excellent and 1 for poor) 9. Will you answer some personal questions? (e.g. of routing based on Yes/No answer - go to Q13 if "No") Yes     No

Tell us about yourself
10. How old are you? Under 18   35-44 18-24   45-54 25-34   55+		11. Are you male or female? Male   Female 12. Please confirm your E-mail Address (in order to receive our monthly newsletter) (e.g. of Open Ended literal question with Source Pattern Edit for a valid E-mail Adress)

13. Are there any other comments that you would like to make?

Thank you for taking the time to help us with our research - and we look forward to your next visit!!