How Are We Doing?

Name *

Address (Used for our gift card promotions)

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Email *

Check # (If available)

Did your server/bartender greet or acknowledge you in a timely manner, 30seconds – 1 minute
YesNo

Did your server offer you the specials of the day
YesNo

Did your server suggest any specific appetizers, drinks or beers
YesNo

Did your food come out in a timely manner?
YesNo

Was your food prepared as you would expect?
YesNo

If no in the field above, what could we do differently

Did your server check back within your first couple bites to see how everything was tasting?
YesNo

Did your server offer you any dessert?
YesNo

Was your server friendly and polite?
YesNo

Did your server thank you and tell you to come again?
YesNo

Did you have a napkin or a coaster under your drinks at all times and was your table kept clean?
YesNo

Would you hire the server for your restaurant?
YesNo

If no above, what could they do to improve?

Overall experience on a scale of 1 to 10, 10 being the best.

Food quality on a scale of 1 to 10, 10 being the best.

Cleanliness on a scale of 1 to 10, 10 being the best.

Service on a scale of 1 to 10, 10 being the best.

Any other comments of suggestions