Survey : Questions

	Thank you for taking the time to fill out our online survery. We appreciate your comments and your business.

1.

Which of our locations did you visit?

Kingston

Plymouth

Middleboro

Hyannis

Wareham

Mashpee

Dartmouth

Falmouth

2.

What day of the week did you dine with us?

Monday-Friday

Saturday

Sunday

I don't remember

3.	Do you recall the date of your visit?
	50 characters left.

4.

Was this your first visit to Persy's Place?

Yes

No

5.

If you have been to Persy's Place before how many times had you visited in the past 3 months?

None, it has been more than 3 months since my last visit

1

2

3

4 or more

6.

How many people were in your party?

1

2

3

4

5 or more

7.

How long have you been a Persy's Place customer?

Less than 1 month

1 month to less than 6 months

6 months to less than 1 year

1 year to less than 3 years

3 years or more

I don't dine here regularly

8.

Was your visit to Persy's Place for breakfast or lunch?

Breakfast

Lunch

9.

How would you rate our service?

	Excellent	Very Good	Good	Fair	Poor
Greeting when you walked in?
Were you greeted promptly?
Overall friendliness of your server?
Was your server knowledgeable about menu, food and beverages?
Was your server attentative to your needs?
Did your server make you feel like a valued guest?
How would you rate the pace of your meal?

10.

Was your server wearing a name tag?

Yes

No

I don't remember

11.	What was your server's name?
	50 characters left.

12.

Did your server offer you orange juice?

Yes

No

I don't remember

13.

Were you offered flavored coffee?

Yes

No

I don't remember

14.

Did you receive coffee/drink refills in a timely manner?

Yes

No

I don't remember

15.

Were you given a free corn bread coupon (for your next visit) with your guest check?

Yes

No

I don't remember

16.

Were you given a customer survey with your guest check?

Yes

No

I don't remember

17.

Did your server deliver your guest check to your table shortly after the food was served?

Yes

No

I don't remember

18.

Did your server return to your table after serving the food to inquire about how you liked the food?

Yes

No

I don't remember

19.

How would you rate your food?

20.

Did we prepare your food exactly as you wanted it?

Yes

No

Comment:
500 characters left.

21.

Did you experience a problem during your visit?

No

Yes, please explain below

Comment:
500 characters left.

22.

Based on your visit how likely are you to:

	Definitely will	Probably will	Might or might not	Probably will not	Definitely will not
Return to Persy's within the next 3 months?
Recommend Persy's to colleagues and friends?

23.

How would you rate your overall level of satisfaction with us?

24.	Tell us what you like most about your visit.
	350 characters left.

25.	Tell us what we could have done to improve your visit.
	350 characters left.

26.

Please rate the following items regarding our menu on a scale of 1 to 5, 1 being poor, 5 being excellent.

Comment:
500 characters left.

27.

Please rank the following attributes in order of importance when choosing a restaurant.

(1 = Most important)

Reputation

Friendly staff

Knowledgeable staff

Attentiveness of staff

Cleanliness of restaurant

Interior/exterior design

The crowd (type of customer)

Quality of food

Menu Selection

Menu pricing and value

28.

Your gender? (optional)

Male

Female

29.

Your income level? (optional)

50,000 or less

50,000 -75,000

75,000-100,000

More than 100,000

30.

Your age? (optional)

18-25

26-35

36-45

46+

31.

Would you like a Heston family owner to contact you regarding your visit?

Yes

No

32.

Enter your email address below to receive coupons, specials, and updates.

First Name:
Last Name:
Home Phone:
Email Address:	emailaddress@xyz.com