Survey Contact Person: ____________
Contact Telephone: _______________
Date to Be Completed: _____________
Return Location: __________________
Date Survey Period Ends: ___________
While this survey is being worked on and when completed, it will be kept confidential with regard to the name of the person filling it out. Please wait to discuss any aspects of the survey with other operators until all surveys have been completed. Refer to the “Date Survey Period Ends” for that date. On that date, you are free to discuss any and all aspects of the survey, your answers, etc.
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