Restaurant Evaluation Form

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Restaurant Evaluation Form

Please let us know how was the food and service

1

Step 1

2

Step 2

Day Visited:

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Dine In / Take Out:

Dine In
Take Out

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Food Quality:

Excellent
Good
Average
Dissatisfied

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Overall Service Quality:

Excellent
Good
Average
Dissatisfied

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Cleanliness:

Excellent
Good
Average
Dissatisfied

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Order Accuracy:

Excellent
Good
Average
Dissatisfied

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Speed of Service:

Excellent
Good
Average
Dissatisfied

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Value:

Excellent
Good
Average
Dissatisfied

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Overall Experience:

Excellent
Good
Average
Dissatisfied

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Any comments, questions or suggestions:

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Name: (optional):

First Name

Last Name

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Age:

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E-mail Id: (optional):

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