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1 of 4 - Availability

Was the bathroom accessible when you visited?

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Reasons bathrooms were not accessible?
Bathroom being cleaned during a site mandated break
Both sides of restroom closed
2 of 4 - Supplies

Did the restroom have all necessary items?

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What was missing from your experience?
Toilet paper
Paper towels
Soap
Sanitary product
Other
Other
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3 of 4 - Equipment

Was all equipment functional as expected?

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Which of the following were not functional?
Soap Dispensers
Paper Towel Dispensers
Toilet Issues
Faucets
Stall Doors
Other
Other
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4 of 4 - Area Cleanliness

Did the area cleanliness meet your expectations?

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Which of the following were not clean?
Sinks
Stalls
Countertops
Toilets / Urinals
Mirrors
Graffiti
Floors
Trash Overflowing
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