Full Name

Your Email *Please include if you want a response*

1) When Did You Last Visit Our Restaurant?
TodayYesterdayLast WeekLast MonthMore Than A Month

2) What Time Of Day Was It?
Morning/BreakfastLunchAfternoon/Happy HourDinner/Evening

3) How Many Were In Your Party?
123456 or more

4) Did you come primarily for:

FoodLive MusicCocktails

5) If You Recall Your Server's Name, Please Enter It Here:

6) Was the service friendly and prompt?
YesNo

7) Was the rest of our staff friendly and helpful?
YesNo

8) Did you ask to speak to a manager during your visit?
YesNo

9) Did the manager come to your table?
YesNoI did not ask for a manager

10) Did the manager answer your questions and requests?
YesNoI did not ask for a manager

11) How was your meal?
1 - Poor2 - So/So3 - Good4 - Very Good5 - Excellent

12) Did you visit the bar?
YesNo

13) Were the drinks to your liking?
YesNoI Did Not Visit The Bar

14) How would you rate your overall experience?
1 - Poor2 - So/So3 - Good4 - Very Good5 - Excellent

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