Feedback

Please take 5 minutes to fill in this form. Your feedback is very important to us. It helps us to make sure your stay is comfortable. Thanks in advance for your comments.

Please provide the following contact information for Victoria on Main:

Name

Title

Organization

Work Phone

Home Phone

FAX

E-mail

Date of stay : -- mm/dd/yy

Reason for you stay:

Worst -> Best

How would you rate the cleanliness:	1 2 3 4 5
How would you rate the quality of service:	1 2 3 4 5
How would you rate the Breakfast:	1 2 3 4 5
How would you rate the condition/ambience:	1 2 3 4 5
How would you rate the location/neighbors:	1 2 3 4 5
How would you rate the value:	1 2 3 4 5
Overall rating for Victoria on Main:	1 2 3 4 5

Addition Comments:

Name
Title
Organization
Work Phone
Home Phone
FAX
E-mail