EmailMeForm
Customer Survey
Thank you for taking a few minutes to provide feedback on your recent visit. We greatly appreciate your input!
Date of your visit
MM
/
DD
/
YYYY
Time of day
HH
:
MM
AM
PM
AM/PM
How often have you visited us?
Please select
This was my first visit
I've been here once before
I've been here many times
About how many miles did you drive to get here?
Which of our services did you experience this visit?
*
Restaurant
Bar / Cocktails
Banquet Hall
Off-Sale Store
Other
(Check all that apply!)
How satisfied were you with our staff?
Rate the staff
*
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
N/A
Timeliness
Friendliness
Knowledge
Accuracy
How satisfied were you with your meal?
Rate your meal
*
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
N/A
Taste
Temperature
Portion Size
How satisfied were you with the facilities?
Rate the facilities
*
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
N/A
Atmosphere
Cleanliness
Seating/Tables
Washrooms
How satisfied were you with the prices?
Rate the prices
*
Too High
Just Right
Great Prices!
N/A
Food
Beer/Wine
Liquor/Cocktails
Off-Sale Store
Do you have another couple of minutes to give us more feedback?
*
Yes
No thank you
Additional Comments
We'd really like to hear more detail on what we did well on or what needs improvement. Please share your thoughts below to help us be the best we can be. Thank you!
Tell us more about what you liked or didn't like
If you'd like to name any staff members who did well or not-so-well, list them here
Are there any products, services or event ideas you'd like us to consider?
Okay, almost done!
Please rate your overall experience
Would you recommend us to a friend?
*
Yes
No
Maybe
Would you like us to contact you?
*
Yes
No
Name
First
Last
Email
Will not be shared!
Phone
###
-
###
-
####
Will not be shared!
Thank you for your time!
When finished, click the Submit button below.
