Protest evaluation

Standard form #27B/j







Please take a few minutes to fill out this



questionaire. All answers will be kept



confidental and are used only for research



purposes.







1: How did you hear about us?



   __________________________________________







2: Did you enjoy your overall experience?



   ___ Yes  ___ No







   If not, why not? _________________________



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 ____________________________________________



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 ____________________________________________



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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? ______________________



 ____________________________________________



 ____________________________________________



 ____________________________________________



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Thank you for your time.  Your answers will



help (this office) become more responsive to



protester needs as part of our service goals.

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