Food Task Team Restaurant Survey
1.

Please provide the appropriate contact information for your restaurant.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.

Please provide your restaurant name, if different from contact information above.
 

  • 50 characters left.
3.

Please provide your restaurant street address and zipcode, if different from contact information above.

 
 

  • 50 characters left.
4.

Please provide your restaurant website.
 

  • 50 characters left.
5.

Please provide a short description of your restaurant.
 

  • 350 characters left.
6.

Please roughly indicate the percent vegetarian/vegan entrees your restaurant currently offers.
 

  • 50 characters left.
7.

This space is for you to list up to 3 examples of vegetarian/vegan entrees that you are currently serving that can be highlighted on our website.  Please include a name, short description, and price for each entree.
 

  • 350 characters left.
8.

Are you interested in the Food Task Team providing you vegan entrée suggestions and/or recipes?
Yes
No
9.

Would you be interested in having your restaurant's survey information and your environmentally friendly menu options promoted on the Green Cincinnati website?
Yes
No