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Content of the Online Comment Card - please change this in the admin section
Gender Male
Female
Martial Status Single
Married
Age:
Is this your first Visit with us? Yes
No
How did you hear about us? Walk in
Ad
Friend
or other:
Do you listen to G105
RDU 106
Mix 101.5
88.1 WKNC
96 Rock

Exc Good Fair Poor
Service: How was your overall service
Hospitality: Smiles, courtesy, friendliness
Attention to special needs, etc.
Food Quality
Food Presentation
Employee Appearance
Restrooms: Clean, Neat & Properly stocked
Inside: Windows, dining room, tablets, Floor cleaned
Outside: condition of outside store, parking lot, landscaping, lighting
Products Purchased:
To select multiple items, hold the Control Button while selecting
Additional Comments
Name
Phone
Address
City
State
Zip

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