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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Where did you dine?

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* 5. Please rate your overall experience as it relates to the safety outlined in the A+ Restaurant Initiative

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* 6. Did that staff wear face coverings/masks? 

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* 7. Did the restaurant adhere to social distancing guidelines? 

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* 8. Any additional commens? 

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