Your Name (required)
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Server
Date (required)
Time (required) am pm
Guest Type traveler Local Resident Within 3 miles Local Resident Within 3-5 miles Local Resident More Than 5 miles
Frequency First Time Guest Occasional Guest Regular Guest
How many people were in your party? (required)
Was your visit for: * Restaurant Take-Out Pleasure Business Special Occasion
Did your hostess make you feel welcome? yes no
Did your server make you feel welcome? yes no
Was the service prompt? yes no
Was your server helpful and knowledgeable? yes no
Were dining areas and table settings clean? yes no
Will you return to the restaurant? yes no
Please Rate The Following:
Speed of Service Excellent Good Fair Poor
Personality of Staff Excellent Good Fair Poor
Appearance of Staff Excellent Good Fair Poor
Portion Size & Appearance Excellent Good Fair Poor
Taste Excellent Good Fair Poor
Quality of Food Excellent Good Fair Poor
Value Excellent Good Fair Poor
Overall Experience Excellent Good Fair Poor
What did you order?
What would you like to see change?
Additional Comments?
