Full Name
*
Email Address
*
1) When did you last visit our restaurant?
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Today
Yesterday
Last Week
Last Month
More than a month
2) What time of day was it?
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Morning/Breakfast
Lunch
Afternoon/Happy Hour
Dinner/Evening
3) How many were in your party?
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1
2
3
4
5
6 or more
4) Did you come primarily for:
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Food
Drinks
Specials
5) If you recall your server's name, please enter it here:
6) Was the service friendly and prompt?
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Yes
No
7) Was the rest of our staff friendly and helpful?
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Yes
No
8) Did you ask to speak to a manager during your visit?
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Yes
No
9) Did the manager come to your table?
Yes
No
10) Did the manager answer your questions and requests?
Yes
No
11) How was your meal?
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1 - Poor
2 - So/So
3 - Good
4 - Very Good
5 - Excellent
12) What did you order?
*
13) Did you have anything from the bar?
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Yes
No
14) Were the drinks to your liking?
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Yes
No
I did order anything from the bar
15) How would you rate your overall experience?
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1 - Poor
2 - So/So
3 - Good
4 - Very Good
5 - Excellent
Comments:
Please enter the verification code:
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