Sample of the web survey input form.

Data is collected from respondents using a form that looks like this

Q1. Did you plan your trip using a Travel Agent?

No
Yes

		Click in the circle that is your best answer
		Terrible	Awful	Could be better	Average	Great	Surprisingly good	Awesome
Q2.	What best describes the quality of your flight?
Q3.	Rate your car rental service
Q4.	Rate the demeanor of the receptionist
Q5.	Please rate the room


		Rotten	Stunk	Putrid	Bleh	Worthy	Fragrant	Swoony
Q6.	My reaction to the survey is