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About You

Full Name

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Mobile

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Email

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Date Of Visit

Month 4

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Day

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Year

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Date Of Birth

Month

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Day

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Year

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You Are Visiting With

Friends

Colleagues

Family

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Rating

Drag the camel from poor to great

Poor
Average
Good
Very Good
Excellent

Appearance

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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Taste

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POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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Food Quality & Taste

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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Cleanliness

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POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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Atmosphere

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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Quality of service

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

Required

Timing

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

Required

Overall experience

BlANK

POOR

AVERAGE

GOOD

VERY GOOD

EXCELLENT

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The Service

Did the manager visit your table?

Yes

No

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Name of your waiter?

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How Can we serve you better?

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What did you enjoy most during your experience?

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Result

Fail

Success

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