Online Feedback Form

All information gathered from the survey will remain strictly confidential and will be used solely for the purpose of improving your next experience at The Surf Club Kurrawa.

Not all fields are necessary. However, we appreciate any Feedback you would like to share with us.

Rating: (1) Poor  -  (5) Outstanding

YOUR DETAILS
Name:
Email Address:
Are you a Member?:	Yes No *
Membership Number:
Where do you live?:	Gold Coast QLD Interstate Overseas
Are you male or female?:	M F
Which age group are you in?:	18 - 24 25 - 34 35 - 44 45 - 59 60 +
How often do you visit?:	First Visit Weekly Monthly Promotional Days/Nights Only Other
Please specify:
What was the time and date of your visit?:	*
How did you find/hear about us?:
Would you return to our Club?:	Yes No
Would you recommend us?:	Yes No
INFORMATION CENTRE
Greeting at Reception on arrival:	1 2 3 4 5
Staff efficiency and service :	1 2 3 4 5
Staff friendliness and attitude:	1 2 3 4 5
Staff knowledge of Club in general:	1 2 3 4 5
Variety and quality of available merchandise:	1 2 3 4 5
Merchandise you would like to see available:
BAR
Staff efficiency and service :	1 2 3 4 5
Staff friendliness and attitude:	1 2 3 4 5
Staff knowledge of beverage menu:	1 2 3 4 5
Variety and value of beverage menu:	1 2 3 4 5
Beverages you would like to see available:
BISTRO
Staff efficiency and service :	1 2 3 4 5
Staff friendliness and attitude:	1 2 3 4 5
Staff knowledge of bistro menu:	1 2 3 4 5
Variety and value of bistro menu:	1 2 3 4 5
Meal satisfaction and delivery timing:	1 2 3 4 5
Meals you would like to see available:
GAMING
Staff efficiency and service :	1 2 3 4 5
Staff friendliness and attitude:	1 2 3 4 5
Variety of gaming machines available:	1 2 3 4 5
Games you would like to see available:
Promotions you would like to see available:
OVERALL
Restroom cleanliness:	1 2 3 4 5
Appearance and cleanliness of Club:	1 2 3 4 5
Are there any staff members in particular you wish to mention?:	Yes No *
Who and why?:
Overall satisfaction:	1 2 3 4 5 *
Additional comments:
	Type the characters you see in the picture below. Letters are not case sensitive