Date of Visit
Name of Staff (you may name more than one) - Who would you like to compliment?
Compliments (for service and kitchen crew) -What would you like to share about him/her?
Food Quality (1 being poor, 10 being great)
Service Quality (1 being poor, 10 being great)
Ambiance (1 being poor, 10 being great)
Overall Experience (1 being poor, 10 being great)
Others (1 being poor, 10 being great)