Please take a moment
to tell us about your experience.
Your comments are very important to us.
On a scale of 1-5 please help us by rating the following:
5
EXCELLENT
4
VERY GOOD
3
AVERAGE
2
UNSATISFACTORY
1
POOR
DATE OF VISIT
OVERALL EXPERIENCE
5
4
3
2
1
SERVER'S ATTENTIVENESS
5
4
3
2
1
SERVER'S KNOWLEDGE OF MENU
5
4
3
2
1
ACCURACY OF MY ORDER
5
4
3
2
1
FOOD TEMPERATURE
5
4
3
2
1
MEAL SERVED PROMPTLY
5
4
3
2
1
MEAL PORTIONS WERE ADEQUATE
5
4
3
2
1
DINING AREA CLEANLINESS
5
4
3
2
1
RESTROOM CLEANLINESS
5
4
3
2
1
VARIETY OF MENU ITEMS
5
4
3
2
1
VALUE
5
4
3
2
1
LUNCH
DINNER
DID YOUR SERVER EXPLAIN THE SPECIALS?
YES
NO
WHAT ITEMS DID YOU ORDER?
SERVERS NAME
WILL YOU RETURN?
YES
NO
WHICH RADIO STATION DO YOU LISTEN TO MOST?
WICH NEWSPAPER DO YOU READ?
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Thank you for your time and for visiting
The Pub and Panini's
