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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? _________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________



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 to

protester needs as part of our service goals.