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Name: Age 18-24 25-29 30-40 60+ Suburb Gender Male Female Have you been to Chalk Hotel? Yes No When was your last visit to Chalk? How often do you visit Chalk? Daily More than once a week Once a week Monthly For special events only For functions only Never Why do you/would you visit Chalk? Function Breakfast / Lunch / Dinner Night out Special Event Other Security What would make you visit Chalk more often. Different Ambiance Different Music Better service Cheaper Food Cheaper Drinks Other What do you/don't you like about Chalk? In a few words tell us what you like/don't like about our music and entertainment at Chalk: Would you tell your friends/family about Chalk Hotel? Yes No Where did you hear about Chalk? Billboard Advertisement Courier Mail South East Advertiser Lifestyle Magazine Street press Word of mouth Myspace Nova 106.9FM 97.3FM Triple M Website Other Other: Have you browsed on our website? Yes No If yes tell us what you like/don't like about our site: Do you receive our e-newsletters? Yes No If yes, tell us what you like/don't like about them. Please rate your experience at Chalk from 1 – 10 (1 being the worst and 10 being the best). 1 2 3 4 5 6 7 8 9 10 Further Comments Would you like to receive info about Chalk by Yes No Email address: Mobile: Please enter the letters you see in the security image.