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Bolts Sports Cafe Survey
Your feedback is important to us. Please use this form to provide your comments. While your contact information is available should you like us to have this information, it is strictly optional.
Optional Information
First Name
Last Name
Email
Phone
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Date of Your Visit
MM
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DD
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YYYY
Name of your server, if known.
Survey
Please provide us with your feedback.
How would you rate your server?
Worst
1
2
3
4
5
Best
How would you rate the time it took to receive your order?
Worst
1
2
3
4
5
Best
How would you rate the accuracy of your order?
Worst
1
2
3
4
5
Best
How would you rate the taste of your order?
Worst
1
2
3
4
5
Best
How would you rate the cleanliness of our facilities?
Worst
1
2
3
4
5
Best
How likely are you to return to Bolts?
Absolutely Not
1
2
3
4
5
Certainly Will
How likely are you to refer others to Bolts?
Absolutely Not
1
2
3
4
5
Certainly Will
How often do you visit Bolts?
First Time
1
2
3
4
5
I'm A Regular
Please provide any feedback you would like to share with us.
