Comment Card

Url

Name *

Phone #

Address 1

Address 2

City

State

Zip

Email *

Date of Visit *

Time of Visit

Name of your server

Please rate the following

How welcoming was our greeting staff?

How friendly was your server?

How prompt was your service?

Was our menu to your liking?

How much did our food satisfy your taste buds?

Was your overall experience pleasing?

What are the chances of you visiting us again?

Would you like to be added to our Email Club?

Yes

No

Is there anything you would like to see added to our menu?

What is one thing we could do better? *