1. How well did we serve you?
Name of Server/Cashier:  Location:
       
  EXCEEDED EXPECTATIONS MET
EXPECTATIONS		 DID NOT MEET
EXPECTATIONS
Reception

Atmosphere

ServerServer/Cashier: Friendliness
Menu Selection
Value for your Money
Overall Experience

2. Reason for your visit today:
 Personal Birthday
Business  Special Occasion Other
Visit Day: / (dd/mm)  Time:
Is this your first visit with us?   Yes   No

3. How did you find out about us?
Newspaper Radio Enjoyed a Previous Visit
Website Tourist Recommended by Friends

4. Was the service fast enough?

Yes No

5. Would you recommend us to your friends? Yes No

6. Please provide us with your suggestions so that we can improve:
    

8. A WINNER EVERY MONTH!!! Please fill out your info below to enter our monthly draw.
Name: Birthday: / / (dd/mm/yy)
Address: Postal:
Phone: ( ) - Email:



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