Customer Survey
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
City:
State/Province
(US/Canada):
Postal Code:
Property Name:

Required 2.
With the current guidelines in place, how comfortable would you be attending a movie at a movie theatre?
Very Uncomfortable Uncomfortable Neither Uncomfortable or Comfortable Comfortable Very Comfortable       
      
Required 3.

Is there anything that a movie theater could do that would move your comfort level, either positively or negatively?
 

350 characters left.
Required 4.

How often did you dine-in restaurants on a weekly basis PRIOR to the COVID-19 pandemic?
0-2 times per week
3-5 times per week
6 or more times per week
Required 5.

Since the COVID-19 pandemic, how often do you eat at restaurants outdoor dinning on a weekly basis? 
0-2 times per week
3-5 times per week
6 or more times per week
Required 6.

How often did you get takeout/delivery (excluding drive-thru) on a weekly basis PRIOR to the COVID-19 pandemic?
0-2 times per week
3-5 times per week
6 or more times per week
Required 7.
Since the COVID-19 pandemic, how often do you get takeout/delivery (excluding drive thru) from restaurants on a weekly basis?
0-2 times per week
3-5 times per week
6 or more times per week
Required 8.
How often did you cook at home on a weekly basis PRIOR to the COVID-19 pandemic??
0-2 times per week
3-5 times per week
6 or more times per week
Required 9.
Since the COVID-19 pandemic, how often do you cook at home on a weekly basis?
0-2 times per week
3-5 times per week
6 or more times per week