abc Country Restaurants Comments Card

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If your restaurant was not listed above, please identify which location you visited.
At abc Country Restaurants we believe that pleasing our guests is the most important service we can offer. Please take a moment to complete this survey.

Month and Date of Visit:
Time of Visit:		:
Server's Name:
Food and Beverage: Please tell us what menu item you tried today:	:
How would you rate your menu item in terms of:
		( Unsatisfactory 1, Excellent 5 )
Flavor/ Taste:		1 2 3 4 5
Freshness:		1 2 3 4 5
Temperature:		1 2 3 4 5
Portion Size:		1 2 3 4 5
Meal Delivery Timing:		1 2 3 4 5
Value:		1 2 3 4 5
Service
How would you rate your visit in terms of:
		( Unsatisfactory 1, Excellent 5 )
Friendliness of the Staff:		1 2 3 4 5
Speed of Service:		1 2 3 4 5
Accuracy of the Order:		1 2 3 4 5
Appearance of the Staff:		1 2 3 4 5
Knowledge of the Staff:		1 2 3 4 5
Did the location provide an enjoyable, inviting atmosphere?		1 2 3 4 5
Did the Host or Server mention the Daily Feature or Special?		Yes No
Shortly after your meals were served, did the Server come back to ask if everything was to your liking?		Yes No
If there was a problem, was it resolved satisfactorily?		Yes No N/A
If no, please explain
Cleanliness
		( Unsatisfactory 1, Excellent 5 )
How clean was our restaurant?		1 2 3 4 5

What promotional materials did you observe or were you told about?



Based on today's experience, would you recommend this abc Country Restaurant to others?		Yes No
Additional Information
How many times in the last month did you visit an abc Country Restaurant?		First Time 4 or 5 times 2 or 3 times 6 - 10 times
If this was your first time at our restaurant, how did you hear about us?		Newspaper Radio Billboards Mail Flyer Friends/Family Driving by

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