Restaurant Survey
Please Review Us.
Please let us know how was the food and service.
Day Visted
Dine In/ Take Out
Dine In
Take Out
What was your favourite meal course?
Appetizer
Main course
Dessert
Food Quality
Excellent
Good
Average
Dissatisfied
Overall Service Quality
Excellent
Good
Average
Dissatisfied
Cleanliness
Excellent
Good
Average
Dissatisfied
Order Accuracy
Excellent
Good
Average
Dissatisfied
Speed of Service
Excellent
Good
Average
Dissatisfied
Value
Excellent
Good
Average
Dissatisfied
Overall Experience: How many points would you give us?( between 1 and 10)
Any comments, questions, or suggestions?
Name
Age
Please select the age
under 13
13-17
18-24
25-34
35-44
45-54
55 or older
E-mail