Tell us about your visit to Cobb CineBistro

1.	What movie theatre did you visit?
	--Click Here--CineBistro @ DolphinCineBistro @ Hyde ParkCineBistro @ Grove 16Cinebistro @ Peninsula Cinebistro @ SolarisCinebistro @ Stony PointCinebistro @ Brookhaven

2.	Please enter the date and time of your visit
�	Date of visit		�
�	Time of visit		�

3.	How often, on average, do you visit the theatre?
	--Click Here--Once a WeekTwice a weekTwice a MonthMonthly

4.	How many people were in your party today?
	Adults		�

5.	How much did you spend in total on Food and Drinks?
	--Click Here--$0.00$1.00 - 10.00$11.00 - 20.00$21.00 - 30.00$31.00 +

6.	How do you rate the following?
	�	Very Good	�	Good	�	Poor	�	Very poor	�	Don't know	�
�	Ticketing Experience		�		�		�		�		�
�	Quality of Service		�		�		�		�		�
�	Friendliness of Staff		�		�		�		�		�
�	Quality of Food		�		�		�		�		�
�	Feature Presentation		�		�		�		�		�
�	Overall Experience		�		�		�		�		�
�	Overall Value		�		�		�		�		�

7.	Comments?

Tell us about yourself

8.	What is your age?
	--Click Here--Under 1818-2425-3435-4445-5455+

9.	Male/Female?
	--Click Here--MaleFemale

10.	Household Income Range
	--Click Here--Under $25,000$25,000 - $35,000$35,001 - $55,000$55,001 - $75,000$75,001 - $100,000Over $100,000

11.	Please enter your zipcode/postcode.

12.	Please Enter your Email Address