Cafe 21 Comment Card
RequiredRequired Question(s)
Required 1.

Are you a local or just visiting? 

Local
Visiting
Required 2.

Do you remember the name of your server?

Yes
No
3.

Awesome memory! Please provide us with the name of your server.

 

50 characters left.
Required 4.

How was your meal?

WOW!
Good
So so
Not WOW! At All
Required 5.

What was the favorite part(s) of your dining experience? You can choose more than one!

Service
Ambiance
Food
Drinks
Nothing
Other  
Required 6.

What can we improve on? You can choose more than one!

Service
Ambiance
Food
Drinks
Loved it all so keep up the good work!
Required 7.
What was your most favorite: Food or Drink only and you can only CHOOSE ONE!
 

50 characters left.
Required 8.

What was your least favorite: Food or Drink only and you can only CHOOSE ONE!

 

50 characters left.
9.

Any additional comments would be very helpful :

 

350 characters left.
Required 10.

How did you hear about us?

Passerby
Returning Guest
Hotel
Search Engine
Instagram
Facebook
From a Friend
Yelp
Other  
Thank you for taking the time to provide your feedback. All that love helps us grow into a better Nature's Kitchen!
 
11.
To finalize, please enter your email address and your birth month and year (MM/YY) below:

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

Email Address:
emailaddress@xyz.com
Birthday (MM/YY):

You should be receiving your FREE BIRTHDAY ENTRÉE offer via email so be sure to check your email! Remember to share the love with others and leave a review on GOOGLE OR Yelp Cafe 21 Gaslamp or Cafe 21 University Heights!