Mookie's Northwest Grill Survey
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1. How are we doing?
Please provide your feedback on this short form about our performance at Mookie's Northwest Grill. Your responses are very important to us.
1
. Please rate the following, with 5 being Excellent and 1 being Poor.
5 (Excellent)
4
3
2
1 (Poor)
Atmosphere
*
Please rate the following, with 5 being Excellent and 1 being Poor. Atmosphere 5 (Excellent)
Atmosphere 4
Atmosphere 3
Atmosphere 2
Atmosphere 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)
Service
Service 5 (Excellent)
Service 4
Service 3
Service 2
Service 1 (Poor)
Overall Experience
Overall Experience 5 (Excellent)
Overall Experience 4
Overall Experience 3
Overall Experience 2
Overall Experience 1 (Poor)
Menu Variety
Menu Variety 5 (Excellent)
Menu Variety 4
Menu Variety 3
Menu Variety 2
Menu Variety 1 (Poor)
Comments
2
. How often do you dine at Mookie's Northwest Grill?
How often do you dine at Mookie's Northwest Grill?
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?
Yes
No
Comments
4
. What would you change about Mookie's Northwest Grill?
What would you change about Mookie's Northwest Grill?
5
. What do you like most about Mookie's Northwest Grill?
What do you like most about Mookie's Northwest Grill?
6
. Optional: Enter your name and e-mail address
Optional: Enter your name and e-mail address
Name
E-mail Address
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