2010 Hudson Valley Restaurant Week Diner Survey
 

1. 2010 Hudson Valley Restaurant Week Diner Survey

 
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Fill out this brief survey to be eligible to win. One Grand Prize winner will receive a $600.00 gift card to Adams Fairacre Farms; a second winner will receive a $500.00 gift basket from Woodbury Commons. Five other winners will receive a gift certificate from a pre-selected list of restaurants (valued at $56 each). You can complete one survey for every restaurant you dine at. For a complete set of rules, send a self-addressed stamped envelope to Hudson Valley Restaurant Week, 152 Powelton Circle, Newburgh, NY 12550. Drawing will be held on or around April 15, 2010. Thank you for sharing your Restaurant Week experience!

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1. Your Contact Information

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2. How did you hear about Hudson Valley Restaurant Week?

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3. Which participating restaurant did you dine at (report on one per survey)?

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4. Date you dined there.

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Enter date.
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5. Number of guests in your party.

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6. What was the total check for the table (round to nearest whole dollar)?

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7. Did you take the train to the restaurant?

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8. Have you eaten at this restaurant in the past?

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9. Did you order from the Prix-Fixe menu?

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10. How would you rate your dining experience at this restaurant?

 ExcellentGoodFairPoor
Food
Service

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11. Do you plan to return to this restaurant?

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12. Age Range

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13. On average, how many times per month do you dine out?

14. Household Income in U.S. Dollars

15. If there are any additional comments you would like to make regarding your Hudson Valley Restaurant Week experience, please share them with us here.