Customer Reviews Form

SERVERS NAME:

Number in party:

Date:

Time:

 Vistor Local

How Frequently do you dine with us?:

If this is your first visit, who recommended us?

SERVICES

Greeting by our host or hostess?
 Poor Fair Good Excellent

Cleanliness of table area?
 Poor Fair Good Excellent

Servers attentiveness to your needs?
 Poor Fair Good Excellent

How would you rate your service overall?
 Poor Fair Good Excellent

FOOD/BEVERAGE

Timing of your meal?
 Poor Fair Good Excellent

Variety of Items on the menu?
 Poor Fair Good Excellent

How did your food taste?
 Poor Fair Good Excellent

How did your beverage taste?
 Poor Fair Good Excellent

How would you rate your food overall?
 Poor Fair Good Excellent

Food & Beverage(s) ordered:

What did you like best?

What did you like least?

What can we do to improve our services to you?

Any new food or plate suggestions?

PERSONAL INFO
(for drawings, discounts and mailings)


Name:

Spouse’s Name:

Address:

City:

State:

Zip:

Birthday:

Spouse’s Birthday:

Email Address :

Phone:

Final Comments:

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