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  5. Hosokawa
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What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
How would you rate your overall dining experience with us?
 
Highly dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Somewhat satisfied
 
Highly satisfied
 
 
 
How would you rate your server's knowledge of the menu?
 
Very unknowledgeable
 
Unknowledgeable
 
Neutral
 
Somewhat knowledgeable
 
Very knowledgeable
 
 
 
How likely are you to recommend our restaurant to a friend?
 
Very unlikely
 
Somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
 
 
How would you rate the menu selection?
 
Would like to see more menu options
 
Would like to see less menu options
 
 
 
Is this restaurant in a convenient location for you?
 
Yes
 
No
 
 
 
How likely are you to return to our restaurant?
 
Very unlikely
 
Somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
 
 
How prompt was your service?
 
Prompt
 
Not prompt
 
 
 
How would you rate the overall food quality and freshness?
 
Below Expectations
 
Neutral
 
Meets expectations
 
Exceeds expectations
 
 
 
How long have you been dining at our restaurant?
 
Less than 1 month
 
1 month to less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years or more
 
 
 
Was your service on arrival prompt and courteous?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent