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Top Of The Bay Restaurant Survey
1.

Please enter your order number located on top of your receipt



 

50 characters left.
2.
How long have you been dining at our restaurant?
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
3.
How would you rate your overall level of satisfaction with us?
Highly dissatisfied Somewhat dissatisfied Neutral Somewhat satisfied Highly satisfied       
      
  • Comment:

  • 500 characters left.
4.
Please rate the following service items at our restaurant on a scale of 1 to 5, 1 being poor, 5 being excellent.
 1 (Poor) 5 (Excellent) 
Friendliness of staff
Staff's knowledge of the menu
Attentiveness of staff
  • Comment:

  • 500 characters left.
5.
Please rate the following regarding the ambiance of our restaurant on a scale of 1 to 5, 1 being poor, 5 being excellent.
 1 (Poor) 5 (Excellent) 
Cleanliness
Lighting
Music
Comfort
Include comment box
  • Comment:

  • 500 characters left.
6.
Please rate the following items regarding our menu on a scale of 1 to 5, 1 being poor, 5 being excellent.
 1 (Poor) 5 (Excellent) 
Quality of food
Menu variety
Menu pricing and value
  • Comment:

  • 500 characters left.
7.
How likely are you to recommend our restaurant to a friend or colleague?
Very unlikely Somewhat unlikely Neutral Somewhat likely Very likely       
      
8.
Please share any suggestions for improving our restaurant.
 

1000 characters left.
9.

Enter your Name and info below to receive a Free Bottle of House Wine when you dine with us next time
(Make sure you include your email address to receive your free bottle of wine voucher that will be sent within 30 Days)



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:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code: