Customer Feedback Survey Order Number Please fill out this form to join our monthly draw. What is your name? * What is your email address? * Please select the theatre you attended * Choose one Imagine Cinemas Alliston (130 Young, St. W. Unit 1A, Alliston, ON) Imagine Cinemas Carlton (20 Carlton St. at Yonge, Toronto, ON) Imagine Cinemas Elgin Mills (10909 Yonge St. Unit 33, Richmond Hill, ON) Imagine Cinemas Lakeshore (164 Commercial Blvd. Tecumseh, ON) Imagine Cinemas London (355 Wellington St., Citi Plaza Shopping Mall, London, ON) Imagine Cinemas Marketsquare (80 Front St. East at Jarvis, Toronto, ON) Imagine Cinemas Promenade (1 Promenade Circle, Promenade Mall, Thornhill, ON) Imagine Cinemas Southpoint (84 Talbot St. East, Leamington, ON) Imagine Cinemas "Downtown Movie Lounge" Sudbury (40 Elm St., Sudbury, ON) Imagine Cinemas "Cinema 6" Timmins (215 Cedar St. South, Timmins, ON) Imagine Cinemas "Village 8" Whistler (4295 Blackcomb Way, Whistler, BC) Imagine Cinemas Keswick (11 Church Street Keswick, ON L4P 3E9) How clean was the lobby/concession area? (1 being terrible, 5 being great) * 1 2 3 4 5 How clean was the auditorium? (1 being terrible, 5 being great) * 1 2 3 4 5 How clean were the washrooms? (1 being terrible, 5 being great) * 1 2 3 4 5 Please rate your customer service satisfaction (1 being terrible, 5 being great) * 1 2 3 4 5 What was the name of the employee that served you? Please rate your overall experience at Imagine (1 being terrible, 5 being great) * 1 2 3 4 5 How likely are you to recommend us to a friend? (0 being not at all likely, 10 being very likely) * 0 1 2 3 4 5 6 7 8 9 10 Would you like to sign up for our newsletter? * Yes No Only one submission per email address per month is accepted. Monthly winner must pick up passes on location matching the name on survey. Passes are held at location specified on survey. Passes must be picked up within 3 weeks' of email notifying winner. Passes cannot be exchanged or redeemed for cash or for any other item. Passes expire within 6 months of draw.