Evaluation Form

Customer Satisfaction Questionnaire
We greatly value your comments. Please take a moment to complete the following evaluation form
as your comments will help us improve overall customer satisfaction.

* denotes a required field

*Name (Required field)

Email (First - Middle Initial - Last )

Would you like to be contacted regarding any specials or promotions?

Yes

No

Date of your visit

Was your visit during breakfast, lunch or dinner?

Were You greeted promptly at the door?

Yes

No

Was the food fresh and tasty?

Yes

No

Was your dish properly cooked?

Yes

No

Was the server friendly?

Yes

No

Was the server prompt?

Yes

No

Did the server check on your table adequately?

Yes

No

Please rate us in the following areas:

Excellent

Very Good

Good

Fair

Poor

FOOD

SERVICE

CLEANLINESS

DECOR

VALUE

OVERALL

Additional Comments or Suggestions

THANK YOU for taking time to complete this online evaluation. We greatly appreciate your input.

We respects your privacy. All information is kept and used for Customer Satisfaction purpose only. Information is not sold traded, or given to any other entities.

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