Restaurant Survey Form Template

Wednesday, June 21st 2017. | Sample Forms
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Restaurant Survey Form Template

[Your Restaurant Logo]

We Value Your Feedback!

Thank you for dining with us at [Restaurant Name]. Please take a moment to share your feedback so we can continue to improve our service and provide you with the best possible dining experience.

Date of Visit: [Date] Time of Visit: [Time] Server (if applicable): [Server Name]

1. How would you rate your overall dining experience?
Very Good

2. Please rate the following aspects of your experience:
(Circle one for each item)
Item                                  Excellent Very Good Good Fair Poor
Food Quality                    5                      4               3       2      1
Food Presentation          5                      4               3        2     1
Menu Variety                  5                       4               3        2     1
Service Speed                  5                       4              3         2    1
Server Friendliness        5                       4              3        2     1
Restaurant Cleanliness  5                      4              3         2     1
Atmosphere                      5                      4              3         2     1
Value for Price                  5                      4              3        2     1

3. What did you enjoy most about your dining experience?

[Provide space for written response]

4. What, if anything, could we have done to improve your experience?

[Provide space for written response]

5. Will you be recommending [Restaurant Name] to others?

6. How did you hear about our restaurant?
Social Media
Friend/Family Referral
Other: [Provide space for written response]

Name (Optional): [Space for name]
Email Address (Optional): [Space for email address]

Thank you for your valuable feedback!

[Option to include a QR code for online submission or a drop-off box for physical forms]

Restaurant Survey Form Template :

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