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  5. Restaurant Survey
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As our customer, your opinions are very valuable to us. Please take a few minutes and answer the following questions. Thank you.
 
 
 
How often do you dine with us ?
 
Daily
 
Weekly
 
Monthly
 
Once in three months
 
First time
 
Other
 
 
 
 
What is the purpose of your visit?
 
Business
 
Vacation
 
 
 
How old are you?
 
12-19
 
20-29
 
30-39
 
40-49
 
50-above
 
 
 
Gender:
 
Male
 
Female
 
 
 
How many people are dining with us?
 
1
 
2
 
3
 
4
 
5
 
More
 
 
The Server
Yes No N/A
Was the server attentive and available when you needed him/her?
Was your server knowledgeable and able to answer your
questions about the food and beverages?
 
 
The Food
Excellent Good Below average Poor
How would you rate the taste of your meal?
How was the temperature of the food?
Please rate your visit on value for the money.
 
 
Please rate the following regarding the ambiance of our restaurant.
Excellent Good Below average Poor
Cleanliness
Lighting
Music
Comfort
 
 
 
Comments
   
Email Address (Optional)
   
 
All the information acquired above will be used for internal purposes only.