Restaurant Survey Form Template
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?
Excellent
Very Good
Good
Fair
Poor
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?
Yes
No
6. How did you hear about our restaurant?
Yelp
Google
Social Media
Friend/Family Referral
Other: [Provide space for written response]
Optional:
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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