Dining Services Customer Feedback
Page One
1.
Your Name
2.
Email Address
3.
Dining Location
-- Please Select --
Bear Essentials Convenience Store
Bear Tracks Coffee
Cafe Bamboo
Casa Del Sol
Comfort Table
Diggity's Dawgs
El Sol
Garden Square
Global Sizzle
Honor Roll
Ivan's @ Hinderaker
La Fiamma
Latitude 55
LoGo Cafe
My Gourmet
Neighborhood Grill
Panda Express
Scotty's Convenience Store & Grill
Spinelli's Italian Oven
Stacked
Taco Fresco
The Barn
Urban Kitchen
Village Garden
4.
Menu Item
5.
Date of Visit
6.
Time of Visit
Hour
Minute
AM/PM
Time
-- Please Select --
1
2
3
4
5
6
7
8
9
10
11
12
-- Please Select --
00
15
30
45
-- Please Select --
AM
PM
7.
Rate Menu Item
Very Good
Good
Average
Fair
Poor
Appealing presentation of food item
Proper preparation of food item
Quality of food item
8.
Menu Item Comments & Suggestions
9.
Rate Quality of Service
Very Good
Good
Average
Fair
Poor
Courteous Customer Service
Staff Appearance and Professionalism
Overall Service
10.
Quality of Service Comments & Suggestions
11.
Rate Cleanliness
Very Good
Good
Average
Fair
Poor
Serving Area Cleanliness
Dining Room Environment
12.
Cleanliness Comments & Suggestions
13.
Overall Dining Experience
Very Good
Good
Average
Fair
Poor
Satisfaction
14.
Dining Experience Comments & Suggestions
