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Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email:
Age:
21-30
31-50
51-65
Over 65
Are you a Cape Cod resident?
Yes
No
When deciding where to go for dinner,
how far in advance do you choose a restaurant:
The same day
Within three days
Within a week
When planning my vacation
If you are visiting Cape Cod...
Where did you stay?
How long was your visit?
When did you plan your Cape Cod
visit?
Within the last week
Within the last 2 weeks
Within the last month
Over a month ago
How many times have you visited
Cape Cod?
First visit
2nd visit
3 times or more
Why did you choose Cape Cod for
Your Visit?
(Check all that apply)
Beaches
Shopping
Outdoor Activities
Arts & Culture
Visit Family or Friends
Other
Please enter the name(s) of the
Dining on Cape Cod" restaurant(s) you have
visited:
View reference list of restaurants
(a new window will open)
Would you like to receive occasional
dining and getaway offers by email?
Yes
No
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