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The "Experience" (Service & Attitude) Met or Exceeded my Expectations!
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
The Food was Delicious, Plentiful, Well Presented and Arrived Within a Reasonable Time!
Strongly Disagree Disagree Neutral Agree Strongly Agree
Temperature
Presentation
Taste
Delivered in a reasonable time
Server checked back
 
 
 
The Restaurant is Clean and has a Comfortable Atmosphere!
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
Other
 
 
 
 
I Plan on Returning with my Friends or Family!
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
Please Briefly Tell Us What Needs Immediate Improvement! Your Honest Feedback is Critical and Appreciated! We Can't Fix What We Don't Know About! (optional)
Well Below Average Below Average Average Above Average Well Above Average
Atmosphere
Menu Selection
Friendliness of Staff
Cleanliness of Restaurant
Check paying experience
 
 
 
I Would Value Receiving Information about Specials, Events and Good Deals!
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
How likely are you to continue using our services?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
Do you have any suggestions for improvement?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
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