Blue Sky Bistro Survey

How Are We Doing?

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* 1. Your Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your birthday (DAY & MONTH) (to join VIP Club) Optional

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* 3. Number of times to Blue Sky Bistro?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 4. How likely is it that you would recommend this service to a friend or colleague?

Not at all likely

Extremely likely

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* 5. What did you like most?

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* 6. What could we do better?

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* 7. Server

	Not Satisfactory 1	Good 2	Excellent 3
Courtesy	Courtesy Not Satisfactory 1	Courtesy Good 2	Courtesy Excellent 3
Attentiveness	Attentiveness Not Satisfactory 1	Attentiveness Good 2	Attentiveness Excellent 3
Timing & promptness	Timing & promptness Not Satisfactory 1	Timing & promptness Good 2	Timing & promptness Excellent 3

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* 8. Food

	Not Satisfactory 1	Good 2	Excellent 3
Appearance	Appearance Not Satisfactory 1	Appearance Good 2	Appearance Excellent 3
Temperature	Temperature Not Satisfactory 1	Temperature Good 2	Temperature Excellent 3
Portion sizes	Portion sizes Not Satisfactory 1	Portion sizes Good 2	Portion sizes Excellent 3
Taste	Taste Not Satisfactory 1	Taste Good 2	Taste Excellent 3
Quality	Quality Not Satisfactory 1	Quality Good 2	Quality Excellent 3

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* 9. Overall Meal Experience

	Not Satisfactory 1	Good 2	Excellent 3
Service	Service Not Satisfactory 1	Service Good 2	Service Excellent 3
Ambiance	Ambiance Not Satisfactory 1	Ambiance Good 2	Ambiance Excellent 3
Food	Food Not Satisfactory 1	Food Good 2	Food Excellent 3
Price	Price Not Satisfactory 1	Price Good 2	Price Excellent 3
Value	Value Not Satisfactory 1	Value Good 2	Value Excellent 3

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* 1. Your Information

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* 2. What is your birthday (DAY & MONTH) (to join VIP Club) Optional

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* 3. Number of times to Blue Sky Bistro?

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* 4. How likely is it that you would recommend this service to a friend or colleague?

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* 5. What did you like most?

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* 6. What could we do better?

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* 7. Server

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* 8. Food

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* 9. Overall Meal Experience

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* 10. Your Server's Name / Date