ESCAPE ROOM QUESTIONNAIRE

1

Full description of operations:

2

Email

example@example.com

3

Average number of visitors annually:

4

Professional organization memberships:

5

Total Annual Revenues:

6

Do you have a formal safety program in place?

Yes

No

7

How are participants monitored while in the Escape Room?

8

How many attendants monitor an Escape Room at a time?

9

Do you have a written emergency evacuation plan in place?

Yes

No

10

Does it address notification and removal of patrons in the Escape Room?

Yes

No

11

Is there a way for participants to let themselves out of the Escape Room in case of an emergency?

Yes

No

12

Is the Escape Room door actually locked?

Yes

No

13

Do you have rides, mechanical amusement devices or inflatables?

Yes

No

14

(If yes, please complete the Family Entertainment Center Questionnaire.) Do you require adults or chaperones for participants under the age of 18?

Yes

No

15

Do you offer any sessions longer than 2 hours?

Yes

No

16

Are live actors utilized in any of your escape rooms?

Yes

No

17

Do you use paint bombs, exploding paint, or exploding powder?

Yes

No

18

Do you offer axe throwing or rage room experiences?

Yes

No

19

Is the staff required to report all incidences to management that may result in a claim?

Yes

No

20

Are written records of all incidences kept by management?

Yes

No

21

Are all incidents reviewed?

Yes

No

22

Are all hands-on exhibits inspected daily to check for broken pieces or malfunctions?

Yes

No

23

Do you have a restaurant or cafeteria?

Yes

No

24

Annual gross receipts:

25

Do your employees and volunteers (paid and volunteer) employment application include questions about whether the individual has ever been convicted for any crime, including sex-related or child-abuse offenses?

Yes

No

26

If yes, what is the process for dealing with a "yes" answer?

27

Does your state permit you to do criminal background checks on: Employees?

Yes

No

28

Does your state permit you to do criminal background checks on: Volunteers?

Yes

No

29

If yes, do you routinely request and receive such background information on all

Yes

No

30

Do you verify employment-related references for employees?

Yes

No

31

Do you verify employment-related references for volunteers?

Yes

No

32

Do you conduct a personal interview for employees?

Yes

No

33

Do you conduct a personal interview for volunteers?

Yes

No

34

Do you have a written set of procedures for screening employees and volunteers?

Yes

No

35

If yes, please forward. If no, please describe your screening process.

36

Do you have an Abuse / Molestation Policy with regard to sexual abuse?

Yes

No

37

If yes, please indicate how it is transmitted to your employees/volunteers.

38

Do you have written procedures for dealing with allegations of sexual abuse?

Yes

No

39

If yes, please forward. If no, please describe what your current response would be.

40

Describe how your organization supervises employees and volunteers having custody of children.

41

Has your organization ever had an incident which resulted in an allegation of

Yes

No

42

If yes, please describe your organization's response to the allegation.

43

Was a claim made against the organization or an individual within the organization?

Yes

No

44

When did the alleged incident(s) occur?

45

Was the case taken to trial?

Yes

No

46

Trial Type (if the case went to trial):

Civil

Criminal

47

What was the disposition of the case?

48

Regarding coverage for abuse and molestation, does your current insurance program: Exclude coverage?

Yes

No

49

Limit coverage (please forward a copy of the endorsement)?

Yes

No

50

Neither exclude nor limit coverage?

Yes

No

51

Please indicate age range of minors in your care or under the supervision of your employees or volunteers at anytime.

52

Please describe your current and/or planned operations that involve the custodial care of minors.

53

Type a question