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Guest Experience Questionaire
 
Please fill in all fields marked with a *
Date of Visit:  Time of Visit: 
Server's Name:  Service Time: 
   
SERVICE Excellent Good Fair Poor  
Overall Hospitality & Server Courtesy
Promptness
Server Call-Back
Cashier Courtesy & Check Handling
           
FOOD Excellent Good Fair Poor  
Appearance
Prepared as Ordered
Temperature
Value
           
CLEANLINESS Excellent Good Fair Poor  
Outside
Dining Room
Restrooms
           
How often do you visit the restaurant? First Time
 Weekly
 Monthly
 Rarely
Did a manager visit or interact with you? Yes
 No
 Unsure
  
Would you recommend this restaurant? Yes
 No
 Unsure
  
Comments and Suggestions:
How can we contact you?
Name *
Address *
City / State / Zip */ * / *
Phone
Email *