Moody's Diner FeedBack
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1. What is your name?

What is your name?

2. Date of visit?

	MM		DD		YYYY		HH		MM	AM/PM
Date of visit?	Date of visit? Date of visit? Month	/	Day	/	Year		Hour	:	Minute	AM or PM

3. Would you like to be added to our e-mail list?

Would you like to be added to our e-mail list? Yes

4. What is your email address?(optional)

What is your email address?(optional)

5. What was your server's name?

What was your server's name?

6. To help provide us with quality food and service, would you please rate us on the following areas

	Poor	Keep Trying	Good	Very Good	"Wicked Good"
Friendliness of Your Server	*To help provide us with quality food and service, would you please rate us on the following areas Friendliness of Your Server Poor	Friendliness of Your Server Keep Trying	Friendliness of Your Server Good	Friendliness of Your Server Very Good	Friendliness of Your Server "Wicked Good"
Promptness of Your Server	Promptness of Your Server Poor	Promptness of Your Server Keep Trying	Promptness of Your Server Good	Promptness of Your Server Very Good	Promptness of Your Server "Wicked Good"
Quality of Your Meal	Quality of Your Meal Poor	Quality of Your Meal Keep Trying	Quality of Your Meal Good	Quality of Your Meal Very Good	Quality of Your Meal "Wicked Good"
Value of Your Meal	Value of Your Meal Poor	Value of Your Meal Keep Trying	Value of Your Meal Good	Value of Your Meal Very Good	Value of Your Meal "Wicked Good"

7. Any Additional Comments?

Any Additional Comments?

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Moody's Diner FeedBackExit this survey