CUSTOMER FEEDBACK

Name

First Name

Last Name

Email Address

Mobile

Date of Birth

YYYY

Anniversary

YYYY

How did you hear about us?

What attracted you to this Restaurant?

How did we do on SERVICE?

How did we do on QUALITY OF FOOD?

How did we do on VALUE FOR MONEY?

How did we do on ATMOSPHERE?

How did we do on INTERIOR?

How did we do on STAFF ATTENTIVENESS?

How often do you visit this restaurant?

OCCASIONALLY

OFTEN

FREQUENTLY

When did you visit this restaurant?

LUNCH

EVENINGS

How likely are you to visit again?

NOT LIKELY

LIKELY

VERY LIKELY

When did you visit the Restaurant?

YYYY

Any Other Comments: