Customer Feedback Form

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Dining Location

Date of Visit

Time of Visit

Appealing presentation of food item

Proper preparation of food item

Quality of food item

Courteous Customer Service

Staff Appearance and Professionalism

Overall Service

Quality of Service Comments & Suggestions

Serving Area Cleanliness

Dining Room Environment

Cleanliness Comments & Suggestions

Satisfaction

Dining Experience Comments & Suggestions

Dining Services