CUSTOMER FEEDBACK
Date of Experience?
*
Was this your first visit to Nautilus Cafe?
Yes
No
Did you dine with us for lunch or dinner?
Lunch
Dinner
Early Bird Special
Wednesday Steak Night
How did hear about Nautilus Cafe?
*
Please select...
Yellow Pages
Website
Newspaper
Recommendation
Repeat Customer
Other
When you entered, were you greeted and seated in a timely fashion?
*
Yes
Acceptable
No
If so inclined, please enter your server's name:
Was your food order taken in a timely manner?
*
Yes
Acceptable
Somewhat slow
No, not at all
Did your food and drink order arrive in a timely manner?
*
Yes
Acceptable
Somewhat slow
No, not at all
Did your meal arrive as ordered?
*
Please select...
Yes
No - cold
Items missing / incorrect
No - undercooked
No- overcooked
How would you rate the portion size of your meal?
*
Excellent
Good
Fair
Poor
How would you rate your meal?
*
Excellent
Good
Fair
Poor
Was our server attentive throughout your visit?
Yes
No
Do you feel you received a good value at Nautilus Cafe?
*
Yes
No
How would you compare our restaurant to our competitors?
Better
About the same
Not as good
Will you recommend Nautilus Cafe to your friends and family?
*
Yes
No
Are you interested in receiving exclusive information on specials and happenings?
Yes
No
First Name
*
Last Name:
*
Email Address:
*
Birthday:
Have any additional comments?
Need assistance with this form?
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