Clearmans 2023 Receipt survey Clearmans 2023 Receipt survey Question Title * 1. What location of ours did you visit? North Woods Inn San Gabriel North Woods Inn Covina North Woods La Mirada Steak n' Stein OK Question Title * 2. Email - required for entry into the $75 monthly Gift Card drawing OK Question Title * 3. Phone Number - required for entry into the $75 monthly Gift Card drawing OK Question Title * 4. Receipt Number - required for entry into the $75 monthly Gift Card drawing OK Question Title * 5. What date did you visit us? Date / Time Date OK Question Title * 6. What time of day did you visit us? Date / Time Time AM/PM - AM PM OK Question Title * 7. Was this your first time dining here? Yes No OK Question Title * 8. My food order was accurate Yes No OK Question Title * 9. Did your food arrive in a timely manner? Yes No OK Question Title * 10. Did the quality of food meet your expectations? Strongly agree Agree Disagree Strongly disagree OK Question Title * 11. The Staff and Service were excellent Strongly agree Agree Disagree Strongly disagree Addition comments welcome: OK Question Title * 12. Are you happy with our variety of beer selections? Yes No Additional beer suggestions: OK Question Title * 13. If you ordered a cocktail, was it made to your liking? Yes No Additional comments welcome: OK Question Title * 14. The food is good value for the money spent Strongly agree Agree Disagree Strongly disagree Additional comments welcome: OK Question Title * 15. What entree would you like to see added to the menu? OK Question Title * 16. What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65+ OK Question Title * 17. What zipcode is your home located? (enter 5-digit ZIP code; for example, 00544 or 93405) OK DONE