What was the date of your visit?

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* 1. What was the date of your visit?

Date
How likely are you to recommend Austin's on Harmony?

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* 2. How likely are you to recommend Austin's on Harmony?

Which menu items did you order today?

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* 4. Which menu items did you order today?

Comments:

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* 5. Comments:

Contact Info

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* 6. Contact Info

Would you like to receive our enewsletter?

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* 7. Would you like to receive our enewsletter?

T