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  Guest Experience Questionaire

 
Please fill in all fields marked with a *
Date of Visit:  Time of Visit: 
Server's Name:  Service Time
   
SERVICE Excellent Good Fair Poor  
Overall Hospitality & Server Courtesy
Promptness
Server Call-Back
Cashier Courtesy & Check Handling
           
FOOD Excellent Good Fair Poor  
Appearance
Prepared as Ordered
Temperature
Value
           
CLEANLINESS Excellent Good Fair Poor  
Outside
Dining Room
Restrooms
           
How often do you visit the restaurant? First Time
Weekly
Monthly
Rarely
Did you see a manager in the restaurant? Yes
No
Unsure
 
Would you recommend this restaurant? Yes
No
Unsure
 
Comments and Suggestions:
How can we contact you?
Name *
Address *
City / State / Zip */ * / *
Phone
Email *