Customer Feedback Form

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* 1. Name:

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* 2. At what email address would you like to be contacted?

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* 3. What is your age?

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* 5. What is your gender?

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* 6. How often a month do you visit us?

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* 7. Did an employee greet/acknowledge you when you entered the store?

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* 8. Was the employee knowledgeable in regards to our products we sell?

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* 9. Do you remember the employee name who took your order? (if not leave blank)

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* 10. How was the feel of the restaurant?

  Perfect Good Could Use Work Poor
Music
Lighting
Decor
Professionalism
Temperature
Cleanliness

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* 11. What would you, specifically, improve in regards to the "feel of the restaurant"?

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* 12. We'd love some feedback on the Menu...

  Perfect Good Needs Work Poor
Menu Items Overall Taste/Quality
Number of Items on the Menu
Drink Menu Items

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* 13. What would you, specifically, improve in regards to the Menu?

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* 14. Can you tell us what you ordered?

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* 15. Did the food come out correctly and in a reasonable amount of time (20 minutes or less)?

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* 19. Where else do you like to dine in the South Bay?

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* 20. What restaurants do you think we're similar to, or compete with us for your business in the South Bay?

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* 21. One idea to make us better would be ...

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* 22. General Comments. We'd love all your feedback!

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* 23. If we wanted to tell you about a new menu item or a new promotion, what is the BEST way to reach you?

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* 24. Would you recommend us to your friends? 

Thank you so much for the time you've taken -- we really appreciate it.  Looking forward to serving you soon. 
- The Kidd

T