January 18, 2016
Name: 


  1. Please indicate if you are a teleworker who will NOT be present in the office on 1/1/2016.
    Yes - we will mail you a gift card - Please go directly to the bottom of this survey and select the 'submit' button
    No - Please complete the remainder of the survey


  1. Please select your desired breakfast time from the options below:
    7:45 AM
    8:30 AM
    9:30 AM


  1. Breakfast will consist of two breakfast tacos, please indicate your desired option:
    2 bean & cheese tacos
    2 potato, egg & cheese tacos
    1 bean & cheese taco, 1 potato, egg & cheese taco


  1. Please select your desired lunch time from the options below:
    11:15 AM
    12:00 PM
    1:00 PM


  1. Lunch will consist of a boxed lunch from Freebirds which will consist of a burrito, chips and salsa, and a cookie. Please indicate your desired burrito option:
    Steak
    Chicken
    Roasted Veggies


  1. If we do not receive a response from you, we will make the following choices on your behalf:

    * 8:30 AM Breakfast time
    * 2 bean & cheese tacos
    * 12:00 PM Lunch time
    * Chicken burrito boxed lunch




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