Decades Restaurant Bar Survey
1.
What prompted you to dine with us? (Select all that apply)
Location/Convenience
Past Experience
Word of mouth
Advertisement
Other  
2.
How frequently do you go out to eat?
Daily
Weekly
Monthly
Once every 3 months
Other  
3.
When was the last time you visited our restaurant?
last week
last month
1 to 3 months ago?
4.
Please indicate when you expect to return to our restaurant.
Within 1 month
Within 3 months
Within 6 months
Never
Other  
5.
About how far do you travel to get to our restaurant?
 

  • 50 characters left.
6.
Please rank your main reasons for selecting a restaurant in order of importance.

(1 = Least)
 
Service and employee friendlyness
Atmosphere
Location
Quality of food
Menu variety
Beverage quality/selection
Non-smoking
Wine Selection
Televisions
Value for the money
  • Comment:

  • 500 characters left.
7.
How much do you normally spend on a typical dinner for 2?
$18-$28
$29-$45
$45-$65
$65-$99
Over $100
Other  
8.
What is your favorite restaurant in town and why?
 

  • 350 characters left.
9.
Would you reccomend our restaurant to your friends?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
10.
What would you like to see added to the menu?
 

  • 350 characters left.
11.
Please share any suggestions for improving our restaurant?
 

  • 500 characters left.
12.
Please enter the information indicated below.
First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code: