Customer Survey * Required Field Your name: *Email: *Date of visit: *Day of visit: *Time of visit: Name of server Please rate the following items on a scale of 1-5 with 5 being the best and one being the worst 1 2 3 4 5 Servers knowledge of the menu, specials and beverages offered Cleanliness of the dining room and bar area 1 2 3 4 5 Overall experience 1 2 3 4 5 Cleanliness of the bathrooms 1 2 3 4 5 Additional comments: Quality of beverages 1 2 3 4 5 Friendliness of your server 1 2 3 4 5 Quality of food 1 2 3 4 5