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Contact Name: Address: City: State: Zip: Telephone: E-mail: How often do you eat at LUELLA's? Select Weekly Once a Month Not Often How much do you normally spend at each visit? Select $1-$8 $8-$16 $16 -$24 $24or more How many people do you buy for? Select 1 - Just me 2 - 3 3 - 5 I order for the office staff What day of the week was your visit? Select Monday Tuesday Wednesday Thursday Friday Saturday What meal period was it? Select Breakfast Lunch Dinner What do think about Luella's prices? Select Too high About Right Competitive I would pay more When you choose Luella's what is MOST important reason for your decision? Select Price/Value Flavor/Quality Convenience/Location Had any problems with the facilities or staff? Select No Problem Facilities Hours of operation Cash transaction Coupon acceptance The service An employee A product quality Product preparation Product freshness Explain: Based on your past experience, how likely are you to revisit Luella's again? Select Definitely will revisit & tell others Not That Often Will Not Revisit