Date Of Event
Type of Visit
1. How would you describe your experience in the restaurant ?
2. Would you come back again ?
3. Comment on Food Flavor/ Taste:
4. Comment on Variety/Choice of Menu item:
5. Comment on Speed of Service
6. Comment on Efficiency of Service:
7. Comment on Service Staff Courtesy
8. Comment on Ambience.
9. Comment on Cleanliness:
10. Comment on Pricing (in relation to overall dining experience)
11. What did you particularly like ?
12. Which two dishes would you like us to add to our menu ?
13. How often do you dine at this restaurant ?
14. Would you like to be on our mailing list ?
Postal / Zip Code
This is required for us to call you back incase you win! :)
Do you have any suggestion / comments which help us keep your next visit more enjoyable.