CHIKO Survey
RequiredRequired Question(s)
Required 1.
For which of our locations are you completing this survey?
Capital Hill
Dupont Circle
Encinitas
Required 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
Required 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.
Required 4.
Please rank the following attributes in order of importance when choosing a restaurant.

(1 = Most important)
 
Friendly staff
Attentiveness of staff
Cleanliness of restaurant
Interior/exterior design
Quality of food
Menu pricing and value
  • Comment:

  • 500 characters left.
Required 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
  • Comment:

  • 500 characters left.
Required 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.
Required 7.
How likely are you to recommend our restaurant to a friend or colleague?
Very unlikely Somewhat unlikely Neutral Somewhat likely Very likely       
      
  • Comment:

  • 500 characters left.
8.
Enter your email address below to receive our discount coupons and be entered to win a FREE dinner party for SIX.

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