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how did you feel about our service today?
 
Good
 
Great
 
Decent
 
Bad
 
Horrible

 
 
 
On a scale from 1-10 . 1 being the lowest and 10 being the greatest number your customer service with us today?
   
 
 
 
Comments/Suggestions on why you chose your grading scale. All feed back is reviewed by management and will be taken into consideration:
   
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Server
Bar Tender
Food Quality
Food service time
Customer Service
Cleanliness
 
 
 
Comments/Suggestions:
   
 
 
 
Would you revisit and dine with us again in the near future?
 
Yes
 
No
 
Maybe