* 1. Date of your visit:

Date
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* 2. Time of your visit:

* 3. Your residence:

* 4. How often do you dine with us?

* 5. How do we rate?

  Exceeds Expectations Satisfactory Needs Improvement N/A
Service
Food
Beverage
Atmosphere
Music
Cleanliness
Noise Level

* 6. How did you hear about us? (Choose as many as appropriate).

* 7. Is there anything we can do to improve your experience?

* 8. To be entered in our Draw, please provide your email:

* 9. To receive our monthly Newsletter, to hear about special events happening in and around 328 Taphouse + Grill, please provide your email:

 
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