Restaurant Survey
Please help us learn
what we're doing right and what we need more work on by filling this card.
Name :
Email address :
Sex :
Male
Female
How many in your party?
Date
Dine in
Take out
Breakfast
Lunch
Dinner
The name of your server:
What did you order?
Comment:
Quality of food:
Excellent
Good
Fair
Poor
Portion size:
Excellent
Good
Fair
Poor
Ease of Ordering:
Excellent
Good
Fair
Poor
Service:
Excellent
Good
Fair
Poor
Cleanliness:
Excellent
Good
Fair
Poor
