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* 1. Date of your visit:

Date

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* 2. Server's Name:

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* 3. Your residence:

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* 4. How often do you dine with us?

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* 5. How do we rate?

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

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

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

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

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* 9. To receive our Newsletter, to hear about special events happening in and around The Lakes, please provide your email:

 
100% of survey complete.

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