| First Name |
|
| Last Name |
|
| Email |
|
| Phone |
|
| Which location invited
you to provide feedback? |
|
| Please tell us the date
of your visit. |
| |
|
|
| When did you arrive? |
|
| Were you greeted as
soon as possible? |
|
| Were you greeted in a
warm and friendly manner? |
|
Please rate the service you
received.
|
If you remember
your server’s name,
please provide it below. |
|
Please rate your beverage.
|
Please rate the facility.
|
| If any of your ratings
were “Average” or below, please tell us more about
the issue. |
|
May we contact you
about any ratings of
"Average" or below? |
|
| What can we do to
improve your experience? |
|
| What, if anything, are
we doing that is exceptional? |
|
| Please share your
suggestions: |
|
| |
|
