Tell Us About Your Visit!
About Your Store 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 location did you visit?

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* 5. Are you a member of our Rewards program?

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* 6. What brought you in today?

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* 7. Where were you seated?

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* 8. Who did you come with?

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* 9. Did you try anything new?

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

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

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

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

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* 14. Please provide your email address:

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* 15. First Name:

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* 16. Last Name:

Thanks for your feedback!

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