29 Pelham Street
Newport, RI 02840

Guest Survey

We continually strive to make your stay as enjoyable as possible. As a valued guest, we greatly appreciate your comments and suggestions. Please fill out this form and evaluate our performance. We appreciate your feedback and hope to see you again, soon!



Name: *
  
Email Address: *
  
Room: *
  


Have you stayed at a Bed & Breakfast before?

Please Select: *
Yes     No      


On a scale from 5-1 (5 = Fantastic, 1 = Poor), please rate:

The Value: *
5     4     3     2     1      
Overall Satisfaction: *
5     4     3     2     1      
Arrival Experience: *
5     4     3     2     1      
Cleanliness: *
5     4     3     2     1      
Breakfast: *
5     4     3     2     1      
Customer Service: *
5     4     3     2     1      
Maintenance & Upkeep: *
5     4     3     2     1      


Guest Feedback

Comments:  
  

Would you be interested in purchasing branded merchandise from the Black Duck Inn?

Please Choose:  
Apparel
Wine Glasses
Mugs
Water Bottles
Other
I would not purchase anything
  
 
  * indicates required information

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Last Name: (you must leave this field blank)