Survey 2
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1. Default Section

1. Please provide the following contact information:

Please provide the following contact information: Name:
Street Address:
City:
Zip Code:
Home Phone:
E-mail:
Birth Date:
Anniversary

2. What was the date and time of your visit?

	Month	Day	Time:
Date and Time of Visit:	What was the date and time of your visit? Date and Time of Visit: Month	Day	Time:

3. What was your server or bartenders name?

What was your server or bartenders name?

4. How would you rate your overall experience?

How would you rate your overall experience? 1 unsatisfactory

2 poor

3 average

4 good

5 excellent

5. How would you rate your service?

How would you rate your service? 1 unsatisfactory

2 poor

3 average

4 good

5 excellent

6. How would you rate the food?

How would you rate the food? 1 unsatisfactory

2 poor

3 average

4 good

5 excellent

7. How would you rate the value of your meal?

How would you rate the value of your meal? 1 unsatisfactory

2 poor

3 average

4 good

5 excellent

8. What made your experience a pleasurable one?

What made your experience a pleasurable one?

9. What could we have done to make your experience better?

What could we have done to make your experience better?

10. Any additional comments?

Any additional comments?

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Survey 2 Exit this survey

1. Default Section

1. Please provide the following contact information:

2. What was the date and time of your visit?

3. What was your server or bartenders name?

4. How would you rate your overall experience?

5. How would you rate your service?

6. How would you rate the food?

7. How would you rate the value of your meal?

8. What made your experience a pleasurable one?

9. What could we have done to make your experience better?

10. Any additional comments?

Survey 2
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