Name
*
Email Address
*
Please use the email address associated with your PayPal account.
Age
*
Gender
*
Male
Female
Type of Beer Drinker
*
New Beer Drinker
Social Drinker
Beer Nerd
Brewery Visited
*
Date
*
-
Month
-
Day
Year
Day of the Week
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Arrival Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hours
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Departure Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hours
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Number of Guests in Your Party
*
Name of Bartender
*
If unknown, please provide a brief description (ex. 25-30 year old, female, 5'4, short brown hair)
Was the walkway outside the brewery properly maintained?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
0/1000
Did a brewery employee greet you with a smile, "hello," or other welcoming gesture upon entering?
*
Yes
No
Upon entering the brewery, what were your eyes first drawn to?
*
Please write a minimum of two complete sentences.
0/1000
What did you smell upon first walking in?
*
Please write a minimum of one complete sentence.
0/1000
Did music and/or art in the brewery enhance your experience?
Yes
No
Please explain.
*
Write a minimum of two complete sentence.
0/1000
How full was the brewery?
*
Empty
One quarter full
Half full
Three quarters full
Packed
Please give your best estimate.
How did the brewery's social media presence contribute to your visit?
*
Please write a minimum of two complete sentences.
0/1000
Was there a visible, easy to read menu on a wall clearly listing beer names, style, alcohol content, size options, and pricing?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
0/1000
Were you greeted with a smile or "hello" upon approaching the bar?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
How long after approaching the bar were you greeted?
*
0-1 minute
1-3 minutes
3-5 minutes
5-7 minutes
7+
Did the bartender introduce him or herself?
*
Yes
No
Did the bartender engage in conversation with you?
*
Yes
No
Were you offered a physical menu?
*
Yes
No
Did the bartender offer recommendations and samples?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
0/1000
Before serving your beer, did the bartender verify your ID if under 35?
*
Yes
No
N/A
How long did it take from the time of ordering your flight until it was received?
*
0-1 minute
1-3 minutes
3-5 minutes
5-7 minutes
7+
Was your beer served in clean glassware?
*
Yes
No
Please explain.
Please write a minimum of one sentence
0/1000
After ordering your flight, how long until the bartender checked on you?
*
0-1 minute
1-3 minutes
3-5 minutes
5-7 minutes
7+
Did the bartender suggest ordering a beer after completing your flight?
*
Yes
No
Please rate your satisfaction with the appetizer or first food item ordered.
*
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
N/A
Please provide feedback on the quality and presentation.
Please write a minimum of two complete sentences.
0/1000
Please rate your satisfaction with the second food item ordered.
*
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
N/A
Please provide feedback on the quality and presentation.
Please write a minimum of two complete sentences.
0/1000
Did the size and quality of your food items correspond fairly with the price?
*
Yes
No
N/A/
Was the bar area and bathroom clean?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
0/1000
Was there a visible merchandise area with clearly priced items?
*
Yes
No
Please explain.
Please write a minimum of one complete sentence.
0/1000
Did the bartender suggest filling a growler or taking beer to go?
*
Yes
No
Did you purchase any beer to go?
*
Yes
No
After asking to close your tab, how long until the bartender returned with your check?
*
0-1 minute
1-3 minutes
3-5 minutes
5-7 minutes
7+
Did you receive a sincere "thank you" upon leaving the brewery?
*
Yes
No
How would you describe the staff's attitude?
*
Unpleasant
Indifferent
Friendly
Passionate
How did the staff interact with each other behind the bar?
*
Please write a minimum of two complete sentences.
0/1000
How would you rate the staff's level of engagement?
*
Low
Neutral
Moderate
High
Did the brewery staff enhance your experience?
*
Yes
No
Please explain.
*
Please write a minimum of two complete sentences.
0/1000
What was the best part of your experience at Rockford Brewing?
*
Please write a minimum of three complete sentences.
0/1000
Had you visited this brewery before?
*
Yes
No
Would you recommend and return to this brewery based on this experience?
*
Yes
No
Please explain.
*
Please write a minimum of three complete sentences.
0/1000
How soon do you plan to return to this brewery?
*
1-7 days
2 weeks
1 month
1 month+
I do not plan to return
Please provide any additional information you believe would be helpful to the brewery.
*
Please write a minimum of two complete sentences.
0/1000
Please provide any additional information you believe would be helpful to Secret Hopper.
This will not be shared with the brewery.
0/1000
Calculation
What was the total amount of your check before tip?
*
What was the total amount tipped?
*
If you had a friend with you, are their purchases on a separate check?
Yes, separate check.
No, they are included on mine.
N/A
How many people are included on your check?
Tip Percentage
Please upload a picture/screenshot of your receipt.
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