Customer Satisfaction

1. Please tell us about yourself.*
First Name
Last Name
Your Address
Phone #

2. Email Address*
 

3. What is the store number of the restaurant that you visited? (This number is located at the top of your receipt)*

4. What was your dining type?*

5. What day did you visit us?*

6. What time were you in?*

7. Did you feel the restaurant you visited was trying its best to be environmentally friendly?*
Yes
No

8. If you answered no to question #7, please explain why!

9. Was your order prepared correctly?*
Yes
No

10. Was the store clean? On a scale of 1-10. 10 being the cleanest store ever!*
10
9
8
7
6
5
4
3
2
1

11. Did you feel that the restaurant staff was working as a unified group?*
Yes
No

12. Was your food delivered in a timely manner?*
Yes
No

13. Would you visit one of our stores again?*
Yes
No

14. Please list comments about your experience here!*




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