Please wait until you have visited us to complete this Survey

Name:
guest Password:
Email:
Phone:
Address & City:
State:	Select Your State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zipcode:
Age	Select your Age Group under 21 21-25 25-30 30-35 35-40 40-45 45-50 50-55 55-60 60-65 65-70 70+   Male Female
How did you originally hear about us?	Select Here Google Bing Other Search Engine TV Magazine Ocean Driveq New Times Other
What brings you to Myra & Company: Salon, Spa & Studio?	Salon Services Fitness Bodywork Massage Skincare Nails Makeup Ayurveda Packages Cafe
CUSTOMER SERVICE
How do you prefer to make your appointments?	Online Booking Email In Person Phone
How would you rate our reservations group	Poor Fair Good Great Amazing!
Do you have a favorite concierge?	Cathy Coco Erica Jesse Julianna Choose Here
Did you find us & our parking easy?	Yes No
How would you rate our overall customer service?	Poor Fair Good Great Amazing!
Did you pre-book your next visit?	Yes No
APPEARANCE
How would you rate the cleanliness of our location?	Poor Fair Good Great Amazing!
Which beauty regimens do you currently enjoy? (Here or elsewhere)	Hair Color Hair Cuts Extensions Power Plate Pilates Massage Facials Hair Removal Medi Spa Pedicures Mani / Acrylics Eyelashes Makeup
SALON & SPA GUEST
Have you expienced our Movement Center?	Yes No
Were you introduced to the Movement Studio: Pilates & power Plate?	Yes No
MOVEMENT STUDIO GUEST
Have you been to our Salon & Spa?	Yes No
RETAIL BOUTIQUE
What beauty products do you use (bought here or elsewhere)	Haircare Bath & Body Skincare Nail Care Make-up Candles
Have you seen our selection of baby gifts?	Yes No
Have you seen our selection of men's products?	Yes No
CAFÉ
Have you experienced our café?	Yes No
How would you rate the café menu & selections?	Poor Fair Good Great Amazing!
Comments:
POINTS & REWARDS: You earn 2000 points for each NEW guest your refer, excluding guest you bring with a gift certificate. (But you will earn points for purchasing the gift certificate!)
Would you recommend your friends to Myra & Company: Salon, Spa & Studio?	Yes No  (If not- why?)
Did you know about our point system before this ?	Yes No

Thank you for taking our , which earned you 5000 points