EmailMeForm
Mensa Food Feedback Form
1. Please select your occupation:
*
Student living on Campus
Student not living on Campus
Staff
Other
2. Please specify the meal during your visit at Mensa:
*
Breakfast
Lunch
Evening
3. What was the date of your visit:
*
MM
/
DD
/
YYYY
4. Considering your dining experience, how would you describe your satisfaction with:
*
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
5. Customer service and friendliness of staff:
5
4
3
2
1
Freshness and quality of food
Variety offered
Cleanliness of dining area
Cleanliness of serving area
Speed of service
6. Please share any other comments you have about your dining experience:
7. Do you have any suggestions or requests that you would like to see on our upcoming menus:
8. If you would like to contact us to follow up on your comments, please share your email address below. You can also contact us directly at 744-2217 or 744-2218. Thanks for sharing your feedback:
