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The Barley Room Comment Form
Please let us know about your experience with us!
When did you last visit The Barley Room?
MM
/
DD
/
YYYY
Who was your Server or Bartender?
*
Overall, how would you rate your last experience with us?
*
Very good
Good
Neutral
Bad
Very Bad
How long have you been coming to The Barley Room?
*
This was my first time.
A few months.
A few years.
Since it opened.
I prefer not to say.
I'm not sure.
How frequently do you visit The Barley Room?
*
This was my first time.
Almost daily.
A few times per week.
A few times per month.
A few times per year.
I prefer not to say.
Would you reccomend The Barley Room to your friends?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Additional Information (Optional)
What was your favorite aspect of your last visit?
What was your least favorite thing about your last visit?
What is your name?
First
Last
What is your email address?
May we contact you about your comments in this form?
Yes
No
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