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Was the food served to your liking? (appropriate temperature and freshness)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
 
 
 
The employees were friendly, knowledgeable, and patient while taking my order.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
 
 
 
My order was taken, prepared, and delivered in a timely fashion.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
 
 
 
If there was a problem with your order, please rate the quality of the response on a scale of 1-5. 1 being very poor, and 5 being excellent.
1 2 3 4 5 N/A
 
 
 
On a scale of 1-5, 1 being extremely dirty, and 5 being extremely clean, how would you rate the cleanliness of the Chipotle dining area?
1 2 3 4 5
 
 
 
Employees spoke and communicated clearly.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
 
 
 
On a scale of 1 to 5, 1 being very poor, and 5 being excellent, how would you rate your overall Chipotle experience?
1 2 3 4 5
 
 
 
Please rate the likelihood of your return to Chipotle, 1 being very unlikely, and 5 being most likely.
1 2 3 4 5
 
 
 
 
What was your reason for visiting Chipotle? Check all that apply.
 
Conveince/Location
 
Price
 
Ingredients(organic)/Nutritional Value
 
Satisfy a craving
 
Friend referral/Positive Review
 
Atmosphere
 
Other
 

 
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