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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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.