Date
of your visit (MMDDYY): |
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Time of
visit: |
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Was your
visit for: |
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Number
in your party: |
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Please
rate your first impression: |
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Greeting: |
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Table Area: |
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Cleanliness: |
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What did you order? |
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Veggie Burger
Oven Roasted Sandwich
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Tell
us about your meal: |
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Quality: |
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Temperature: |
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Appearance: |
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Entrée(s): |
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How often
do you dine with us?: |
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How
was our service?: |
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Courteous: |
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Prompt: |
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Accurate: |
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How do
our prices compare to the food & service?
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Based on
your visit today, how likely are you to recommend
us to others? |
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What could
we do to better serve you? |
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Name: |
(required)
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Address: |
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Email: |
(required)
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Phone: |
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