Personal Information * fields are mandatory Customer Name *   City *   Phone number *   State New Jersey New York   Phone number   Email: *   Survey Questions Desired Position Select Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select Year 2004 2005 2006 2007 2008 2009 2010     What was the name of Employee that helped you?   Did the employee explain to always alternate your locations?  Select One Yes No   Did the employee explain the different tanning packages offered?   Select One Yes No   How well did your Tanning Consultant explain the Memberships / Services during the tour?   Select One Yes No   Is the cleanliness of our facilities up to your expectations? (10 being the cleanest)   Select One 1 2 3 4 5 6 7 8 9 10   Would you refer Soleil Tans to a friend?   Select One Yes No   How would you rate the employee and their service?   Select one Poor Acceptable Average Good Great   Additional Comments (optional field)            offer valid for New Tanners