I would like a response for this feedback Email: Visit Date: Reason For Visit: Dinner Lunch Private Function Before Visiting: Home Work Theater/Movie Shopping Hotel Sporting Event Distance Traveled: Under 5 Minutes 6-10 Minutes 11-15 Minutes 16-25 Minutes Over 25 Minutes How Many Diners: One Two Three Four Five or More Visit Frequency: Once a Week or More 2-3 Times a Month Once a Month Once Every 2-3 Months Once Every 4-6 Months Less Often Then Listed First Visit

Prompt/Efficient Service: Excellent Good Average Fair Poor Helpful/Friendly Service: Excellent Good Average Fair Poor Food Quality and Taste: Excellent Good Average Fair Poor Visit Consistency: Excellent Good Average Fair Poor Value for Money: Excellent Good Average Fair Poor Relaxing/Enjoyable Atmosphere: Excellent Good Average Fair Poor Menu Selection/Variety: Excellent Good Average Fair Poor How Likely Are You To Visit In The Next 60 Days: Definately Will Probably Will Probably Not Definately Not

Name: Phone: Gender: Male Female Age Group: 18-24 25-34 35-49 50-64 65 or Older Address: City: Postal Code: Additional Comments: