Which location did you visit?: Date of the Visit :
How were you treated during your visit? : 1 2 3 4 5 Meal served in a timely manner? : Excellent Yes Could Be Quicker No Very Slow How would you rate the customer service? 1 2 3 4 5
How clean and tidy was our restaurant during your recent visit? 1 2 3 4 5 How clean was the table you were seated at? 1 2 3 4 5 If you visited the restroom, how clean were the facilities? 1 2 3 4 5
How would you rate the quality of your meal during your visit? 1 2 3 4 5 How adequate was the portion of your meal? 1 2 3 4 5 Did you feel the quality of the food was worth the price? 1 2 3 4 5
Will we have the pleasure of having you dine with us again soon? Yes : No :
Comments/Suggestions? :