Restaurant Visited: |
|
|
Restaurant’s atmosphere/cleanliness: |
|
Food Quality and Presentation: |
|
Employee’s courtesy and service to you: |
|
Quality/Quantity vs. Price Factor
|
|
Efficiency of our overall service |
|
In General: |
Were you impressed by your visit? |
|
Did you receive exceptional service? |
|
Would you recommend us to others? |
|
Would you visit us again? |
|
Did you come for: |
|
Information about yourself, Please! |
Male |
|
Female |
|
Age |
|
How often do you visit us: |
|
Number of people with you: |
|
Date of visit: |
Month:
Day:
|
Time of visit: |
|
E-mail: |
|
Please let us know how we could serve you better |
|
| Security Code: |
|
|
