1. Default Section

* 1. Was this your first visit to Brookwood Grill?

* 2. How did you dine at Brookwood Grill?

* 3. Did you place your order on-line?

* 4. When did you dine at Brookwood Grill?

* 5. E-Mail Address (please)

* 6. First Name

* 7. Last Name

* 8. Would you like to sign up for our monthly e-mail newsletter featuring up coming events and discounts?

* 9. Please provide us with ay additional comments about your experience

* 10. Please rate the following about your most recent dining experience

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Facility/Cleanliness
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