Dining Services Customer Feedback

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1. Contact Information:
5. Time of Visit:
5. Time of Visit:Hour Minute AM/PM
6. Rate Menu Item:
6. Rate Menu Item:Very GoodGoodAverageFairPoor
Appealing presentation of food item
Proper preparation of food item
Quality of food item
8. Rate Quality of Service:
8. Rate Quality of Service:Very GoodGoodAverageFairPoor
Courteous Customer Service
Staff Appearance and Professionalism
Overall Service
10. Rate Cleanliness:
10. Rate Cleanliness:Very GoodGoodAverageFairPoor
Serving Area Cleanliness
Dining Room Environment
12. Overall Dining Experience:
12. Overall Dining Experience:Very GoodGoodAverageFairPoor