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How long have you been visiting our restaurant?
 
1st Time
 
Occasionally
 
Once a month
 
Once a Week
 
Once a year
 
 
 
Which one do you like more, food or the presentation?
 
Food
 
Presentation
 
Both
 
Neither

 
 
 
What do you feel about the waiting time before been seated?
 
Too Long
 
Quick
 
Moderate
 
Other
 
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
 
What do your feel about the food Portion?
 
Less
 
Enough
 
Too Much
 
Very Little
 
Other
 
 
 
How much do you rate us on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Quality of Service
Professionalism
Quality of Food
Understanding customers' needs
Staff friendly nature
Price
 
 
Comment:
   
 
 
 
How likely are you to visit us again?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How likely is it that you would recommend our restaurant to your family member a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you have any suggestions for improving our Restaurant?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
Which category describes your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What best describes your employment status?
 
Employed full-time
 
Employed part-time
 
Self-employed
 
Not employed, but looking for work
 
Not employed, not looking for work
 
Retired
 
Student
 
Military
 
Homemaker
 
Prefer not to answer
 
Other
 
 
 
 
If required how would you like us to contact you?
 
Email
 
Mobile
 
Neither
 
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