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* 1. Which of the below best describes your dietary requirements?

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* 2. Would you make use of a business hub which would offer a WIFI solution and privacy if Blue Route Mall were to provide this offering?

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* 3. Do you have children?

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* 4. If you responded yes, what are their ages:

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* 5. Would you make use of children’s entertainment if it was offered at the mall?

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* 6. If you responded yes, would you be willing to pay for the children’s entertainment?

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* 7. Do you make use of Woolworths Dash or Checkers Sixty60?

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* 8. If yes, do you make use of these services:

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* 9. Name:

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* 10. Surname:

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* 11. Email:

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* 12. Mobile number:

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* 13. Would you like to receive information about Blue Route Mall’s events & promotions?

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* 14. Would you like to receive information about Zone Fitness’ events & promotions?

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* 15. Would you like to receive information about Edgars events & promotions?

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