Restaurant Customer Feedback Survey Thank you for taking the time to provide feedback on your dining experience at the Black Angus Restaurant and Lounge. We value your opinion and review all feedback forms for opportunities to improve the quality of food and service to our customers.
Your visit details: (If this feedback survey should be for the banquet room and not the restaurant, please (click here))
1. Was this your first visit to the Black Angus? Yes No If no, how many times have you visited us in the past 12 months? Select 1 1-3 times 4-6 times 7-10 times 10 or more times
2. What was the date of your visit you are providing this feedback on? Select Year 2008 2009 Select Month January February March April May June July August September October November December Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Do not recall Select Day of Week Friday Saturday Sunday Monday Tuesday Wednesday Thursday Do not recall
3. What was the approximate time you arrived? Select time 4:30PM - 5:00PM 5:00PM - 5:30PM 5:30PM - 6:00PM 6:00PM - 6:30PM 6:30PM - 7:00PM 7:00PM - 7:30PM 7:30PM - 8:00PM 8:00PM - 8:30PM 8:30PM - 9:00PM 9:00PM - 9:30PM 9:30PM - 10:00PM Do not recall
4. When you arrived, were you greeted by a hostess? Yes No If yes, was the greeting warm and friendly? Yes No
5. After arriving in lobby, select choice that best describes your wait: Select 1 choice I was taken directly to a table Had to wait, hostess woud call us If you waited: Your wait was? Wait was about right Longer than I expected Long, but it was busy Way long for amout of business Extremely long no matter how busy We gave up and left
6. What was the number of guest in your party including yourself?
Your dining experience details:
Select from the drop down menu boxes a rating that best describes your feelings. Rating scale is:(1=Very Poor) (2=Poor) (3=Average) (4=Good) (5=Excellent) 7. How was the cleanliness of the restaurant? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor The restroom? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor NA-did not use
8. Rate the amount of time you had to wait from being seated until your order was taken: Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
9. Rate the friendliness of the person who took your order: Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
10. Rate the appearance of the person who took your order: Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
11. How was the speed of your service from time of order until your food arrived? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
12. The accuracy of what you ordered and what was delivered to your table was? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
13. How was the taste of your food? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
14. How was the temperature of your food? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
15. Was it cooked to your satisfaction? Yes No (If no tell us what was wrong in the box below)
16. Did the person who waited on you seem focused on your needs and check back with you often enough? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
17. Rate the general appearance and attitudes of other staff you came in contact with during your visit? Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor NA-no other contact
18. Rate your overall dining experience from entrance to departure: Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
19. Rate the value of your dining experience for your money paid: Select rating 5 Excellent 4 Good 3 Average 2 Poor 1 Very Poor
Recommendations and Comments:
21. How likely would you be to recommend us to a close friend or relative who is in the area? Select a recommendation Most Definitely Would Probably Would Would Probably Would Not Most Definitely Would Not
If you cannot recommend us would you mind telling us why in the text box below?
22. Will you revisit us in the future? Select a recommendation Most Definitely Would Probably Would Would Probably Would Not Most Definitely Would Not
If you would not, or definitely would not revisit us in the future would you mind telling us why in the text box below?
23. During your visit with us did you ask to speak with management or someone about a particular event or customer satisfaction issue?
No Yes, If yes was your issue taken care of to your satisfaction?
Yes No, If no would you mind telling us about the issue and what you were expecting to happen to resolve your issue in the box below:
24. Are there any other comments or recommendations you would like to share with us?