| Theatre Environment |
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Very Good |
Acceptable |
Fair |
Poor |
| Parking Area |
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| Theatre Lobby |
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| Restrooms |
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| Auditorium Seating |
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| Auditorium Cleanliness |
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| Auditorium Temperature |
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| Auditorium Lighting Level |
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| Theatre Environment |
Excellent |
Very Good |
Acceptable |
Fair |
Poor |
| Sound Quality |
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| Picture Quality |
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| Volume |
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| Food Service |
Excellent |
Very Good |
Acceptable |
Fair |
Poor |
| Cleanliness of Concession Stand |
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| Selection of Concessions |
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| Taste/Temperature of Items |
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| Theatre Personnel |
Excellent |
Very Good |
Acceptable |
Fair |
Poor |
| Box Office Cashier |
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| Concession Attendant |
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| Usher |
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| Management Staf |
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| Handling of Problems |
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| Comments |
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| Theatre Name |
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| Manager Name |
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| Film Title |
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| Date of Visit |
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| Time of Day |
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| Your First and Last Name (optional) |
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| Your Address (optional) |
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| Your City (optional) |
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| Your State (optional) |
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| Your Zip Code (optional) |
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| Your Phone Number (optional) |
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| Your E-Mail Address (required so we can respond) |
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