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                   Thank you for completing the 
                  following survey.   
                  To receive your 10% discount, be 
                  sure to give your First and Last Name.   
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                   E-mail 
                  Address is Required to receive a 
                  confirmation  | 
              
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                   Email 
                  Address:  | 
              
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                   First Name (you must give your name to get the 
                  10% discount):  | 
              
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                   Last Name (you must give your name to get the 10% 
                  discount):  | 
              
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                   Phone Number (optional)  | 
              
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                   1.  As a minimum, what would you want on the 
                  menu?  | 
              
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                   2.  What food items have you ordered in the 
                  past? What did you like or dislike about those food 
                  items?  | 
              
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                   3.  If delivery were an option, would that 
                  make a difference in ordering dinner?  | 
              
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                   4. Our Monday through Thursday hours were 
                  recently switched from 10-6 to 11-7.  
                  Has that made a difference to you?  | 
              
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                   5. Our goal is for the members of the JCC to have 
                  at least one meal a month (preferably more)  
                  at the Kosher Cafe. What would we need to do to make that 
                  happen for you?   | 
              
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                   Please give us any other Comments you would like 
                  to make? (Optional)  | 
              
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