Instant Evaluate

Customer Satisfaction Survey

We value your opinion

Please locate the Server and Store number on your receipt. These numbers may be printed together or separately.
The 2-digit Server's number is located to the right of the Server's name.
Server #	73
The 4-5 digit Store number will be located on the top or bottom of your receipt.
Store #	8521
After completing the survey, you will be given a Coupon Code to write on your Restaurant receipt. Your receipt, with the coupon code, is good for a discount on your next service at Restaurant.

For the following 5 statements, please select a response that best represents your last Restaurant experience.
	1)	How would you rank the cleanliness of the Restaurant?
		Excellent Very good Average Below average Poor N.A
	2)	How would you rank the speed of Service?
		Excellent Very good Average Below average Poor N.A
	3)	How would you rank the quality of the Food?
		Excellent Very good Average Below average Poor N.A
	4)	How would you rank the Value?
		Excellent Very good Average Below average Poor N.A
	5)	How would you rank your overall experience?
		Excellent Very good Average Below average Poor N.A
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