Online Service Evaluation Form





What is your Email

What is your home zip code?

What radio station do you listen to most?

Have you ever heard any of our radio ads?
Date served :      Time :
Were you greeted promptly? Rate 1-10
Please grade the cleanliness and appearance of the dining area? Rate 1-10
Did your Server mention our salads or appetizers?
Did your Server mention dessert?
Was your Server happy that you were here and to be serving you? Rate 1-10
What was your Server's name?
or
Were your served quickly enough? Rate 1-10
Was your order prepared correctly as ordered? Rate 1-10
What was the quality of the food? Rate 1-10
Rate your overall experience? Rate 1-10
Will you come back?
Would you feel comfortable recommending us to your friends?
Please give suggestions for improvement:
If you'd like me to call you personally, give your name, email, and contact number:

Name:


Phone: