GUEST FEEDBACK SURVEY

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Which of our establishments did you visit? (Please submit a separate survey for each visit)

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When did you visit?

	Month	Date	Time
Please enter the date and time:	Please enter the date and time: Month menu	Please enter the date and time: Date menu	Please enter the date and time: Time menu

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Who was your server? (If you don't remember their name, please describe them.)

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Please rate the level of cleanliness and organization in each of the following:

	Clean and organized	In need of some attention	Messy and/or disorganized	Not Applicable
Entrance area	Entrance area Clean and organized	Entrance area In need of some attention	Entrance area Messy and/or disorganized	Entrance area Not Applicable
Bar area	Bar area Clean and organized	Bar area In need of some attention	Bar area Messy and/or disorganized	Bar area Not Applicable
Dining area	Dining area Clean and organized	Dining area In need of some attention	Dining area Messy and/or disorganized	Dining area Not Applicable
Restrooms	Restrooms Clean and organized	Restrooms In need of some attention	Restrooms Messy and/or disorganized	Restrooms Not Applicable
Other (please specify below)	Other (please specify below) Clean and organized	Other (please specify below) In need of some attention	Other (please specify below) Messy and/or disorganized	Other (please specify below) Not Applicable

Other or additional comments?

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Which of the following describes the way you were greeted upon entering our establishment?

Very friendly, prompt and polite

Acceptable

Unfriendly, untimely and/or impolite

I wasn't greeted

Any comments?

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Upon seating, were you greeted by your server in a manner that was...

	Yes	No
Timely?	Timely? Yes	Timely? No
Polite?	Polite? Yes	Polite? No
Enthusiastic?	Enthusiastic? Yes	Enthusiastic? No

Any comments?

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When taking your order, did your server...

	Yes	No
Write it down?	Write it down? Yes	Write it down? No
Repeat it back to you?	Repeat it back to you? Yes	Repeat it back to you? No

Question Title

Would you describe the demeanor of your server as... (select all that apply)

	Yes	No
Friendly?	Friendly? Yes	Friendly? No
Knowledgable?	Knowledgable? Yes	Knowledgable? No
Polite?	Polite? Yes	Polite? No
Enthusiastic?	Enthusiastic? Yes	Enthusiastic? No
Helpful?	Helpful? Yes	Helpful? No
Engaging?	Engaging? Yes	Engaging? No

Other or additional comments?

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Which of the following best describes your server's understanding of the food/drink menu?

Expert

Somewhat Knowledgable

Uninformed

Other or additional comments?

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Was the manner in which your drink/food order arrived...

	Yes	No
Accurate?	Accurate? Yes	Accurate? No
Complete?	Complete? Yes	Complete? No
Timely?	Timely? Yes	Timely? No
Appealing?	Appealing? Yes	Appealing? No

Other or additional comments?

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If your order was untimely/inaccurate/incomplete/unappealing, did the staff take the appropriate actions to remedy the situation?

Yes

Not applicable

Other (please explain)

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Did your server (or another employee) check back to ensure that your order was accurate and to your liking?

Yes

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Which of the following best describes the quality of your order(s)?

	Excellent	Above average	Acceptable	Unacceptable	N/A
Food	Food Excellent	Food Above average	Food Acceptable	Food Unacceptable	Food N/A
Drink	Drink Excellent	Drink Above average	Drink Acceptable	Drink Unacceptable	Drink N/A
Other? (please specify below)	Other? (please specify below) Excellent	Other? (please specify below) Above average	Other? (please specify below) Acceptable	Other? (please specify below) Unacceptable	Other? (please specify below) N/A

Other or additional comments?

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When you received your check, was it...

	Yes	No
Timely?	Timely? Yes	Timely? No
Accurate?	Accurate? Yes	Accurate? No

Other (please specify)

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Did your server return with your change and/or credit slip in a manner that was...

	Yes	No
Timely?	Timely? Yes	Timely? No
Accurate?	Accurate? Yes	Accurate? No

Other (please specify)

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Upon leaving, were you thanked/invited back?

Yes

Any comments?

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How would you rate your overall experience this visit?

	Excellent	Above average	Acceptable	Unacceptable	Not Applicable
Atmosphere	Atmosphere Excellent	Atmosphere Above average	Atmosphere Acceptable	Atmosphere Unacceptable	Atmosphere Not Applicable
Service	Service Excellent	Service Above average	Service Acceptable	Service Unacceptable	Service Not Applicable
Food	Food Excellent	Food Above average	Food Acceptable	Food Unacceptable	Food Not Applicable
Drink	Drink Excellent	Drink Above average	Drink Acceptable	Drink Unacceptable	Drink Not Applicable
Other (please specify below)	Other (please specify below) Excellent	Other (please specify below) Above average	Other (please specify below) Acceptable	Other (please specify below) Unacceptable	Other (please specify below) Not Applicable

Other or additional comments?

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Did the staff exceed your expectations in any way?

Yes

If so, how?

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What could we have done to improve the quality of your visit in terms of...

Atmosphere?

Service?

Food?

Drink?

Other? (please specify)

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If you'd like to discuss any further details or suggestions, please provide your contact information:

Name

Email Address

Phone Number