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To Help Us Serve You Better
Please take a moment to complete this brief questionnaire, your answers are important to us and we Thank You for your valuable time.
Upon completion, this will enter you in our monthly customer appreciation draw for a $20.00 gift certificate
Requested Information
Date:
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September 2021
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Time of Visit
Servers Name:
Why did you choose MR. CHINESE, and how did you hear about us?
Do you visit ofter?
Choose an option
Once a week
Once to twice a month
Less than once a month
My first visit
How do you rate the service; was it friendly and efficient?
Choose an option
Poor
Fair
Good
Excellent
Comments:
How would you rate the food quality?
Choose an option
Poor
Fair
Good
Excellent
Comments:
What would you improve on if you owned this restaurant?
Name:
Birthday:
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September 2021
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Su
Mo
Tu
We
Th
Fr
Sa
29
30
31
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Address:
Postal Code:
Telephone No:
Submit