Date of Visit

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* 2. Date of Visit

Date / Time
What was the name used in your reservation?

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* 3. What was the name used in your reservation?

Where did you dine?

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* 4. Where did you dine?

 Server Name

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* 5.  Server Name

In the past 12 months, how many times have you dined with us?

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* 6. In the past 12 months, how many times have you dined with us?

Please tell us about your experience - Food Quality

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* 7. Please tell us about your experience - Food Quality

Please tell us about your experience - Service

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* 8. Please tell us about your experience - Service

Overall, how would you rate the quality of your dining experience?

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* 9. Overall, how would you rate the quality of your dining experience?

Did your server recommend one of our feature cocktails?

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* 10. Did your server recommend one of our feature cocktails?

What are your favorite items on the menu?

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* 11. What are your favorite items on the menu?

Did a manager visit your table?

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* 12. Did a manager visit your table?

Did your server ask you if you are a loyalty card member?

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* 13. Did your server ask you if you are a loyalty card member?

How did you hear about us?

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* 14. How did you hear about us?

Contact Information

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* 15. Contact Information

Thank you for completing this survey. We love guest suggestions to improve your dining experience. Please provide any additional comments here.

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* 16. Thank you for completing this survey. We love guest suggestions to improve your dining experience. Please provide any additional comments here.

Would you like someone to contact you about your experience?

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* 17. Would you like someone to contact you about your experience?

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