Tell us about your visit!

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* 1. Date of Your Visit

Date

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* 2. Estimated Arrival Time

Time

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* 3. Estimated Departure Time

Time

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* 4. What brought you in today?

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* 5. Where were you seated?

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* 6. Who did you come with?

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* 7. Did you try anything new?

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* 8. Did you participate in a wine tasting or utilize our self-serve wine machine?

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* 9. Is there something you always order on the menu?

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* 10. Are there any new items you would like to see added to the menu? If so, which ones?

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* 11. Were you satisfied with your overall experience during your visit?

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* 12. Based upon this visit, would you return and recommend our restaurant?

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* 13. Please provide your email address:

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* 14. First Name:

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* 15. Last Name:

Thank you for your feedback!

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