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Questions
marked with an asterisk (*) are required.
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1.*
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Which
of our restaurants did you dine at? |
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2.*
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Please
enter the date you dined with us. |
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3.*
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Please
enter the approximate time you ate at the restaurant. |
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Rate
your restaurant experience.
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Rate
your meal.
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18.
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Additional
comments you would like to share with us: |
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19.*
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Would
you like to provide us with your first name and email address
so that we may contact you directly about your feedback?
(We will not share our customer's personal information with outside
parties in any way,
nor will you receive promotional mailings from our company.)
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Yes
No
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If
yes, please provide your name and email address or contact information. |
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