Russellville Dine-in Survey (New)

1. $50 GIFT CERTIFICATE AWARDED WEEKLY! To enter this weekly drawing use your receipt to enter the following information. If you do not wish to participate in the drawing you are welcome to leave this section of the survey blank.

$50 GIFT CERTIFICATE AWARDED WEEKLY! To enter this weekly drawing use your receipt to enter the following information. If you do not wish to participate in the drawing you are welcome to leave this section of the survey blank. Date
Time
Ticket Number
Server Name
Server #

2. The Good (Compliments on our staff)

The Good (Compliments on our staff)

3. We need your suggestions on how to make Stoby's better. We would greatly appreciate your honest feedback and candid input. Even though we can not improve Stoby's 100% we are certain that with your help we can improve 1% a hundred times.

We need your suggestions on how to make Stoby's better. We would greatly appreciate your honest feedback and candid input. Even though we can not improve Stoby's 100% we are certain that with your help we can improve 1% a hundred times.

4. Please rate your overall experience with Stoby's on your most recent visit.

	Excellent	Very Good	OK	Needs Improvement	Poor
Food	*Please rate your overall experience with Stoby's on your most recent visit. Food Excellent	Food Very Good	Food OK	Food Needs Improvement	Food Poor
Service	Service Excellent	Service Very Good	Service OK	Service Needs Improvement	Service Poor
Cleanliness	Cleanliness Excellent	Cleanliness Very Good	Cleanliness OK	Cleanliness Needs Improvement	Cleanliness Poor

5. Please rate Stoby's quality of food and service by time of Day.

	Excellent	Very Good	OK	Needs Improvement	Poor	N/A
Breakfast	*Please rate Stoby's quality of food and service by time of Day. Breakfast Excellent	Breakfast Very Good	Breakfast OK	Breakfast Needs Improvement	Breakfast Poor	Breakfast N/A
Lunch	Lunch Excellent	Lunch Very Good	Lunch OK	Lunch Needs Improvement	Lunch Poor	Lunch N/A
Afternoon	Afternoon Excellent	Afternoon Very Good	Afternoon OK	Afternoon Needs Improvement	Afternoon Poor	Afternoon N/A
Dinner	Dinner Excellent	Dinner Very Good	Dinner OK	Dinner Needs Improvement	Dinner Poor	Dinner N/A
Late Night	Late Night Excellent	Late Night Very Good	Late Night OK	Late Night Needs Improvement	Late Night Poor	Late Night N/A
N/A	N/A Excellent	N/A Very Good	N/A OK	N/A Needs Improvement	N/A Poor	N/A N/A

Comments:

6. How long were you seated before being acknowledged by your server?

How long were you seated before being acknowledged by your server? Immediately

Within 1 minute

Within 2 minutes

Longer than 2 minutes

7. Please describe the service you received:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
Appetizers Prompt	*Please describe the service you received: Appetizers Prompt Strongly Agree	Appetizers Prompt Agree	Appetizers Prompt Disagree	Appetizers Prompt Strongly Disagree	Appetizers Prompt N/A
Refills Regular	Refills Regular Strongly Agree	Refills Regular Agree	Refills Regular Disagree	Refills Regular Strongly Disagree	Refills Regular N/A
"Checked on" often	"Checked on" often Strongly Agree	"Checked on" often Agree	"Checked on" often Disagree	"Checked on" often Strongly Disagree	"Checked on" often N/A
Final Ticket Prompt	Final Ticket Prompt Strongly Agree	Final Ticket Prompt Agree	Final Ticket Prompt Disagree	Final Ticket Prompt Strongly Disagree	Final Ticket Prompt N/A

Name of Server and comments:

8. What did you order?

What did you order?

9. Did you receive your food in a timely manner?

Did you receive your food in a timely manner?

10. Please describe your food:

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
"Hot Food" was Hot	*Please describe your food: "Hot Food" was Hot Strongly Agree	"Hot Food" was Hot Agree	"Hot Food" was Hot Disagree	"Hot Food" was Hot Strongly Disagree	"Hot Food" was Hot N/A
"Cold Food" was Cold	"Cold Food" was Cold Strongly Agree	"Cold Food" was Cold Agree	"Cold Food" was Cold Disagree	"Cold Food" was Cold Strongly Disagree	"Cold Food" was Cold N/A
Food was prepared as requested	Food was prepared as requested Strongly Agree	Food was prepared as requested Agree	Food was prepared as requested Disagree	Food was prepared as requested Strongly Disagree	Food was prepared as requested N/A

Comments:

11. Please describe the quality of your food:

	Excellent	Very Good	Satisfactory	Needs Improvement	Poor
Flavor	*Please describe the quality of your food: Flavor Excellent	Flavor Very Good	Flavor Satisfactory	Flavor Needs Improvement	Flavor Poor
Texture	Texture Excellent	Texture Very Good	Texture Satisfactory	Texture Needs Improvement	Texture Poor
Appearance	Appearance Excellent	Appearance Very Good	Appearance Satisfactory	Appearance Needs Improvement	Appearance Poor

Comments:

12. How many trains were running?

How many trains were running? Two

One

None

Don't Recall

Comments:

13. How often do you eat at Stoby's?

How often do you eat at Stoby's? Several times a week

Several times a month

Once a month

Once every couple of months

Several times a year

I have only eaten at Stoby's a few times

This was my first visit

Comments:

14. How long have you been a Stoby's customer?

How long have you been a Stoby's customer? First Time

Less than a year

1- 5 years

6-10 years

11-20 years

21-29 years

20-25 years

25-29 years

Comments:

15. Our second best selling menu item is the Pita Tuna Sandwich. Have you tried one?

Our second best selling menu item is the Pita Tuna Sandwich. Have you tried one? Yes

No

Comments:

16. Have you tried a BBQ Chicken Quesadilla? (We highly recommend this menu item to our customers who like food with a "Burst of Flavor")

Have you tried a BBQ Chicken Quesadilla? (We highly recommend this menu item to our customers who like food with a "Burst of Flavor") Yes

No

Comments:

17. If you tried a BBQ Chicken Quesadilla please rate it 1-10 (10 being best)

	0 - Poor	1	2	3	4	5	6	7	8	9	10 - Great
Flavor	*If you tried a BBQ Chicken Quesadilla please rate it 1-10 (10 being best) Flavor 0 - Poor	Flavor 1	Flavor 2	Flavor 3	Flavor 4	Flavor 5	Flavor 6	Flavor 7	Flavor 8	Flavor 9	Flavor 10 - Great
Texture	Texture 0 - Poor	Texture 1	Texture 2	Texture 3	Texture 4	Texture 5	Texture 6	Texture 7	Texture 8	Texture 9	Texture 10 - Great
Value	Value 0 - Poor	Value 1	Value 2	Value 3	Value 4	Value 5	Value 6	Value 7	Value 8	Value 9	Value 10 - Great
Will Order Again	Will Order Again 0 - Poor	Will Order Again 1	Will Order Again 2	Will Order Again 3	Will Order Again 4	Will Order Again 5	Will Order Again 6	Will Order Again 7	Will Order Again 8	Will Order Again 9	Will Order Again 10 - Great

Comments:

18. In your opinion who has the best burger in town.

In your opinion who has the best burger in town.

19. Please rate the burger named above and Stoby's Burger from 1-10 (10 being best)

	1 - Worst	2	3	4	5	6	7	8	9	10 - Best
Best Burger	*Please rate the burger named above and Stoby's Burger from 1-10 (10 being best) Best Burger 1 - Worst	Best Burger 2	Best Burger 3	Best Burger 4	Best Burger 5	Best Burger 6	Best Burger 7	Best Burger 8	Best Burger 9	Best Burger 10 - Best
Stobys Burger	Stobys Burger 1 - Worst	Stobys Burger 2	Stobys Burger 3	Stobys Burger 4	Stobys Burger 5	Stobys Burger 6	Stobys Burger 7	Stobys Burger 8	Stobys Burger 9	Stobys Burger 10 - Best

20. Did you know Esquire Magazine in it's March 2009 issue named Stoby's among the 59 best place to eat breakfast in America?

Did you know Esquire Magazine in it's March 2009 issue named Stoby's among the 59 best place to eat breakfast in America? Yes

No

21. Would you recommend Stoby's?

Would you recommend Stoby's? Absolutely - and I do often

Yes

Yes - with reservations

No

Comments:

22. How may we contact you if you win the WEEKLY drawing?

How may we contact you if you win the WEEKLY drawing? Name:
Company:
Address:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

23. E-Club - Would you like to join Stoby's E-Club? We promise to keep your contact information strictly confidential.

E-Club - Would you like to join Stoby's E-Club? We promise to keep your contact information strictly confidential. Yes

No