Form FS-GT-1600-1 Grey Towers Conference Services Evaluation Questionnaire

Conference Services
Evaluation Questionnaire
Ref FSM 1620
Using the rating scale, please fill out this questionnaire regarding
your conference/meeting/event experience here at
Grey Towers. Feel free to add any explanations, comments,
suggestions, or questions in the available space after each
question. If you are the point of contact for this organization in the
set-up and arrangement of this meeting, please answer the
questions at the end of this survey. We appreciate you taking the
time to complete this questionnaire, as this will help us to improve
our efficiency and system of conference services. Thank you and
we hope you enjoyed your experience here at Grey Towers!

GT-FS-1600-0001 (REV. 02/2013)
OMB #0596-0226 Exp. 07/2014

GREY TOWERS

Name of Group:
Dates of Meeting:
Rating scale: 5 = Excellent
4 = Good
3 = Fair
2 = Poor
1 = Very Unsatisfactory
N/A = Non-Applicable
PLEASE RATE THE FOLLOWING:
1. The overall site and facilities, regarding:
Cleanliness

Safety and Accessibility

Organization

Atmosphere

2. Grey Towers personnel, in relation to your meeting needs and experience:
Helpful

Organized

Courteous

Knowledgeable
Privacy Act Statement

File Code: 1620

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3. The conference room setup and equipment provided:

4. The food services provided during your meeting:
Cleanliness

Safety and Accessibility

Organization

5. The payment process for your meeting:

6. Did the meeting facilities and arrangements work well for a group of your size?
Yes

No

Please provide comments in the space below:

7. If you needed lodging, where did you stay for the duration of the conference/meeting?

Please rate your lodging experience at that facility and provide comments:

File Code: 1620

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8. If you attended a tour of Grey Towers, please rate the following:
Information Learned

Tour Guide

Length of Tour

Overall Tour

9. What other Grey Towers programs or presentations did you participate in?
Please rate the programs, using the same scale [1-5, N/A]:

10. Would you recommend Grey Towers for any other groups?
Yes

No

Please provide comments in the space below:

11. Would you return to Grey Towers again to visit?
Yes

File Code: 1620

No

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12. Please list any additional comments, suggestions, or questions:

PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU ARE YOUR ORGANIZATION'S POINT
OF CONTACT FOR THE SETUP OF THIS MEETING:
Purpose of Meeting (please check one of the following):
Government - Forest Service:
Government - Non-Forest Service:
Non-Government:
1. Please rate your points of contact here at Grey Towers that you talked with in
planning and setting up this conference/meeting/event:

2. Would you return to Grey Towers again to do business with us?
Yes

No

BURDEN AND NONDISCRIMINATION STATEMENTS
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0596-0226. The time required to complete this information collection is estimated to average 5
minutes/hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race,
color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any
public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at 202-7202600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW,
Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the
Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.
FYI: The reason for the burden statement is in Public Law 104-13, Paperwork Reduction Act of 1995 (PRA), Section 3506, (c)
1 (B) (i to iii and I to V).
The reason for the non-discrimination statement is Departmental Regulation No. 4300-3 "Equal Opportunity Public Notification
Policy" November 16, 1999, Section 7.
File Code: 1620

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