Guest Experience Questionnaire

Date of Visit: Time of Visit:
Server's Name: Service Time:

Excellent
Good
Fair
Poor
SERVICE
Overall Hospitality & Server Courtesy
Promptness
Server Call-Back
Cashier Courtesy & Check Handling
FOOD
Appearance
Prepared as Ordered
Temperature
Value
CLEANLINESS
Outside
Dining Room
Restrooms


First Time Weekly

Monthly

 Rarely
How often do you visit the restaurant?


Did you see a manager in the restaurant?
Yes
 
No
 
Unsure


Would you recommend our restaurant?
Yes
 
No
 
Unsure

Comments and Suggestions:

How can we contact you? *for a quicker response, an email address is required

Name
Address
City/State/Zip //
Telephone
E-mail*