Evaluation Form

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Hale Akua Garden Farm
EVALUATION QUESTIONNAIRE – Farm Guests

Dear Guest of Hale Akua Garden Farm,

Thank you for filling out this questionnaire. We deeply appreciate your candid feedback, which is invaluable as we continue to serve guests.

Please put your completed questionnaire in the envelope, seal the envelope and give it to one of the Managers, leave it on the office door or mail it to us. If you bring us your completed questionnaire before you leave, we have an Aloha gift for you!

Mahalo for sharing your observations and feelings about staying here. We especially appreciate positive feedback on Yelp and Trip Advisor and encourage you to visit their websites and leave a review of Hale Akua Garden Farm. Mahalo Nui Loa!

Warmly,

Lori Grace (Owner), 
Shiva D’Addario (Manager), 
Doris Maran (Office)

[contact-form-7 id=”4965″ title=”Evaluation Form”]

When was your stay with us? _______________________________________

1. Please describe what you most liked about staying at Hale Akua.

2. Please describe something you noticed that could be improved upon.

3. Please identify the room you stayed in: _________________________

Was the cleanliness of your room satisfactory?
How was your experience of your room?
Is there anything about your room that you feel could be 
improved upon?

4. We welcome comments on our kitchens and dining facilities. Was the cleanliness in our kitchen and dining area satisfactory? What did you most and least enjoy about the kitchen and dining facilities available to you while staying here?

5. Were you happy with overall cleanliness at Hale Akua? Please feel free to make specific comments or observations.

6. Did you use our WiFi? Did it meet your needs?

7. The staff at Hale Akua Garden Farm is dedicated to bringing you the best service they can. Was there anyone you’d like to acknowledge or anyone about whom you would like to comment?

• Shiva (Manager)
• Doris (Office)
• Jorda (Office)
• Marishi (Weekend & After Hours, Landscape Aesthetics)
• Jonathan (Farm Co-Manager)
• Elan (Farm Co-Manager)
• Len (Maintenance)
• Barry (Grounds)

8. Did you find the housekeeping staff to be friendly, courteous and attentive to your needs?

9. Did you use any services offered by our associated personnel? Please indicate whose services you used (if any) and if you liked their services. Did they seem reasonably priced?

• Shiva for private yoga or meditation
• Our recommended massage therapists
o Maureen Dean
o Cassie Champagne
o Barry Feld
o Mohini Bethell
o Mandi Marshall
• Other recommended individuals offering therapeutic or healing services here?

10. Please feel free to comment candidly on anything at Hale Akua Garden Farm, any aspect.

11. How did you first hear of us?

Word of Mouth Workshop Other:_________________

12. Have you seen our website? Did our website provide the information you needed? Please specify any information that was not easily accessible on the website. Comments or Suggestions about our website?

13. If you would like to offer a testimonial for use on our website, please do so here. If you need more space, please use the back of the page. Please Check here ________ if we may use your comments, identifying you only by your initials, city and state or country. If you would like to offer a video testimonial, please let us know in the office. We can do a video testimonial easily and quickly. Mahalo!

Please give us the names and email address of anyone you would like to know about Hale Akua Garden Farm. We will send them information about Hale Akua.

Mahalo for sharing your observations, suggestions, 
appreciations and referrals with us!

Your name and phone number are not required but are appreciated. Please rest assured that all responses are kept completely confidential and seen only by our managers and the owner of Hale Akua. Thanks so much again for your feedback.

Name:
Phone Number:
Email:

~ Mahalo ~
Hale Akua Garden Farm

Registration Form

By registering and visiting Hale Akua Shangri-La, a.k.a. Hale Akua Garden Farm, I am agreeing to release all employees, property owners, residents, contractors, facilitators and staff, neighbors and lease holders from any liability of any nature, including but not limited to loss or damage to personal property, or personal injury. In doing so, I accept full responsibility for myself, my guests and/or any other persons using the property at my invitation.

There are absolutely no drugs or heavy alcohol allowed (wine & beer are ok in moderation). Please no smoking except in designated smoking area (maze area adjacent to lower pond).

 

Signature(s): ________________________________Date: ___________

________________________________                                

(All parties sign)

For the following, please print legibly:

Name:____________________________________________________

Phone:___________________ Email:____________________________

Address:__________________________________________________

___________________________________________________

How did you hear about Hale Akua? Hale Akua Website__ AirB&B __Yelp__ Facebook__ TripAdvisor__ FlipKey__ TravelZoo__ Twitter__ VRBO__

Referral __ Other_____________________________________________________

Hale Akua Garden Farm

WAIVER AND RELEASE OF LIABILITY FOR USE OF POOLS

In the case that I voluntarily and knowingly decide to use the swimming pool at Hale Akua Shangri-La (aka: Hale Akua Garden Farm) I understand and acknowledge after reading and understanding this release, that I hereby waive the possibility of blaming any resulting personal injury or other damage on Hale Akua Shangri-La. I release and indemnify them from any and all judgments, claims, costs, liabilities and expenses, including medical bills, arising out of or in any way connected with my use of the pools and the trail.

I acknowledge the risks of injury or drowning associated with the swimming pool and the ponds. Nonetheless, if I do use the swimming pool, I elect to accept full responsibility for that decision and any injury, which may result. I accept and assume all risks associated with use of the swimming pool.

BY SIGNING THIS RELEASE, I FORFEIT ANY CLAIM FOR COMPENSATION, WHICH I MIGHT OTHERWISE HAVE MADE FOR ANY INJURIES OCCURING IN CONNECTION WITH MY USE OF THE SWIMMING POOL.

Date: _____________ Signed: __________________________________

__________________________________

If you are a parent signing this on behalf of your minor child(ren), please read, complete and sign the additional paragraph below:

I certify that I have read and understand the above paragraphs. As a parent or guardian of: _____________________________________________

and in consideration of my child(ren) being allowed to use Hale Akua Shangri-La’s swimming pool, I agree that I and my said child(ren) shall be bound by the terms of this Waiver & Release. I further acknowledge and agree to the necessity to supervise my child(ren) while they are in the vicinity of the swimming pool and/or ponds.

Signed: ___________________________________________________

Permit #CP 2005/0006
Permit #SUP2 2005/0004
TAX ID 94-327-2640
TAX ID 94-327-7590

Conditional Use Permit Pending