Riverbend Coffee Survey
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1. How are we doing?

Please provide your feedback on this short form about our performance at Riverbend Coffee Company. Your responses are very important to us. Provide your name and contact information at the end of this form and you will be entered in a monthly drawing for a Riverbend Coffee Company mug or t-shirt.

1. Please rate the following, with 5 being Excellent and 1 being Poor.

	5 (Excellent)	4	3	2	1 (Poor)
Menu Variety	*Please rate the following, with 5 being Excellent and 1 being Poor. Menu Variety 5 (Excellent)	Menu Variety 4	Menu Variety 3	Menu Variety 2	Menu Variety 1 (Poor)
Cleanliness	Cleanliness 5 (Excellent)	Cleanliness 4	Cleanliness 3	Cleanliness 2	Cleanliness 1 (Poor)
Food Quality	Food Quality 5 (Excellent)	Food Quality 4	Food Quality 3	Food Quality 2	Food Quality 1 (Poor)
Coffee Drinks Quality	Coffee Drinks Quality 5 (Excellent)	Coffee Drinks Quality 4	Coffee Drinks Quality 3	Coffee Drinks Quality 2	Coffee Drinks Quality 1 (Poor)
Overall Experience	Overall Experience 5 (Excellent)	Overall Experience 4	Overall Experience 3	Overall Experience 2	Overall Experience 1 (Poor)
Atmosphere	Atmosphere 5 (Excellent)	Atmosphere 4	Atmosphere 3	Atmosphere 2	Atmosphere 1 (Poor)
Service	Service 5 (Excellent)	Service 4	Service 3	Service 2	Service 1 (Poor)

Comments

2. How often do you visit Riverbend Coffee Company?

How often do you visit Riverbend Coffee Company? Several times a week

About once a week

Several times a month

About once a month

Very infrequently

3. Would you recommend us to a friend?

Would you recommend us to a friend? No

Yes

Comments

4. What would you change about Riverbend Coffee Company?

What would you change about Riverbend Coffee Company?

5. What do you like most about Riverbend Coffee Company?

What do you like most about Riverbend Coffee Company?

6. Optional: Enter your name and e-mail address here to be entered in the drawing.

Optional: Enter your name and e-mail address here to be entered in the drawing. Name
E-mail Address

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Riverbend Coffee SurveyExit this survey