Skip to content
Post Inspection Survey
*
1.
What date was the inspection on?
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
*
2.
Who was your inspector?
(Required.)
Inspector Aldana
Inspector Babadzhanyan
Inspector Brown
Inspector Camp
Inspector Campbell
Inspector Campos
Inspector Choplin
Inspector Garcia
Inspector Gutierrez
Inspector Herrera
Inspector Kunze
Inspector Longmore
Inspector Lopez
Inspector Mendoza
Inspector Moisant
Inspector Payton
Inspector Sanchez
I don't remember
*
3.
What is the Establishment name and phone number?
(Required.)
*
4.
What is the license number?
(Required.)
*
5.
Did the inspector introduce themselves, show identification and provide a business card upon arrival?
(Required.)
Yes
No
*
6.
Around what time did the inspector arrive?
(Required.)
*
7.
About how long did the inspection last?
(Required.)
1 - 30 minutes
30 minutes - 1 Hour
1 hour - 1 hour and 30 minutes
1 hour and 30 minutes - 2 hours
2 + Hours
*
8.
At the completion of the inspection, did the inspector review the violations with you and explain what was need to become complaint with the health and safety requirements?
(Required.)
Yes
No
*
9.
DId you recieve a copy of the Inspection Report via email/mail immediately after inspection?
(Required.)
Yes
No
10.
Do you have anything additional information you would like to add?