UT Dining SurveyUT Dining Survey

1. About you:

About you: Name:
Email Address:

2. Customer Type

Customer Type

3. Which venue did you visit?

Which venue did you visit?

4. When did you visit this venue?

	MM		DD		YYYY
Date	When did you visit this venue? Date Month	/	Day	/	Year

5. Please rate your quality of service

6. Overall, how would you rate your dining service experience?

Outstanding	Good	Satisfactory	Poor	Very Poor
*Overall, how would you rate your dining service experience? Outstanding	Good	Satisfactory	Poor	Very Poor

7. Please provide any additional comments about your quality of service

Please provide any additional comments about your quality of service

	Yes	No	Don't Know
Did the Cashier/Checker verbally greet you?	*Please rate your quality of service Did the Cashier/Checker verbally greet you? Yes	Did the Cashier/Checker verbally greet you? No	Did the Cashier/Checker verbally greet you? Don't Know
Did the Cashier/Checker make eye contact?	Did the Cashier/Checker make eye contact? Yes	Did the Cashier/Checker make eye contact? No	Did the Cashier/Checker make eye contact? Don't Know
Did the Cashier/Checker thank you?	Did the Cashier/Checker thank you? Yes	Did the Cashier/Checker thank you? No	Did the Cashier/Checker thank you? Don't Know
Did the Cashier/Checker display knowledge of the products?	Did the Cashier/Checker display knowledge of the products? Yes	Did the Cashier/Checker display knowledge of the products? No	Did the Cashier/Checker display knowledge of the products? Don't Know
Were the displayed/advertised menu items available?	Were the displayed/advertised menu items available? Yes	Were the displayed/advertised menu items available? No	Were the displayed/advertised menu items available? Don't Know
Were the posted hours the same as the actual hours?	Were the posted hours the same as the actual hours? Yes	Were the posted hours the same as the actual hours? No	Were the posted hours the same as the actual hours? Don't Know
Were there any unpublished menu changes?	Were there any unpublished menu changes? Yes	Were there any unpublished menu changes? No	Were there any unpublished menu changes? Don't Know
Was the product temperature within proper range? (hot foods were hot, cold foods were cold)	Was the product temperature within proper range? (hot foods were hot, cold foods were cold) Yes	Was the product temperature within proper range? (hot foods were hot, cold foods were cold) No	Was the product temperature within proper range? (hot foods were hot, cold foods were cold) Don't Know
Were menu products in stock and available?	Were menu products in stock and available? Yes	Were menu products in stock and available? No	Were menu products in stock and available? Don't Know
Was the food portion size satisfactory?	Was the food portion size satisfactory? Yes	Was the food portion size satisfactory? No	Was the food portion size satisfactory? Don't Know
Were condiments available and adequate?	Were condiments available and adequate? Yes	Were condiments available and adequate? No	Were condiments available and adequate? Don't Know
Were the tables and chairs clean?	Were the tables and chairs clean? Yes	Were the tables and chairs clean? No	Were the tables and chairs clean? Don't Know
Was the condiment bar free of debris/clean?	Was the condiment bar free of debris/clean? Yes	Was the condiment bar free of debris/clean? No	Was the condiment bar free of debris/clean? Don't Know
Were the floors clean and dry?	Were the floors clean and dry? Yes	Were the floors clean and dry? No	Were the floors clean and dry? Don't Know
Were the utensils fully stocked?	Were the utensils fully stocked? Yes	Were the utensils fully stocked? No	Were the utensils fully stocked? Don't Know
Were the trashcans clean and not overflowing?	Were the trashcans clean and not overflowing? Yes	Were the trashcans clean and not overflowing? No	Were the trashcans clean and not overflowing? Don't Know
Were the service counters clean and organizes?	Were the service counters clean and organizes? Yes	Were the service counters clean and organizes? No	Were the service counters clean and organizes? Don't Know
Were the display cases clean?	Were the display cases clean? Yes	Were the display cases clean? No	Were the display cases clean? Don't Know
Was the amount of time from entering the line to receiving your meal reasonable?	Was the amount of time from entering the line to receiving your meal reasonable? Yes	Was the amount of time from entering the line to receiving your meal reasonable? No	Was the amount of time from entering the line to receiving your meal reasonable? Don't Know
Was a manager present and/or visible during your visit?	Was a manager present and/or visible during your visit? Yes	Was a manager present and/or visible during your visit? No	Was a manager present and/or visible during your visit? Don't Know