Feedback Form

Restaurant you visited

Date of Visit

Name of Staff (You may name more than one)

Who would you like to compliment?

Compliments (For service and kitchen crew)

What would you like to share about him/her?

Food Quality

1 2 3 4 5 6 7 8 9 10
Not at all Absolutely

1 being poor, 10 being shucking awesome

Restaurant Ambience

1 2 3 4 5 6 7 8 9 10
Not at all Absolutely

1 being poor, 10 being shucking good vibes

Service Quality

1 2 3 4 5 6 7 8 9 10
Not at all Absolutely

1 being poor, 10 being loved the service

Overall Experience

1 2 3 4 5 6 7 8 9 10
Not at all Absolutely

1 being poor, 10 being would definitely revisit

OthersOptional

Any other comments or suggestions

Your Info