CUSTOMER SERVICE EVALUATION FORM

Valuable Food Coupons will be mailed to all providing feedback.
(Requires postal mailing address entries)
* Required Entries

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 Location:
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* Date of Visit:
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 Time of Visit:

Employee:
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 1. Were the employees wearing proper uniforms:
Hat or visor, clean Sconecutter shirt, clean pants/shorts?

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 2. Were you quickly greeted by an employee in a friendly manner?

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 3. Based on this experience, will you return, and would you
recommend us to others?

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 4. Were you told 'Thank You' at least twice by employees?

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 5. Did the cashier:

  (A) Give you the total cost of your order?

  (B) Tell you how much money you gave them?

  (C) Count your change as it was handed to you?

  (D) Give you a cash register receipt?

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 6. After placing your order, was it received within six minutes?
If not, how long did it take?

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 7. Was everything delivered as you ordered it, served neatly
and at the proper temperature?

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 What did you order?

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 8. Were the grounds, entryways, restrooms, tables, and
dining room clean?

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 9. Did you receive or were you directed to straws, napkins
and condiments?

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 10. Did our employee smile at you?

Additional Comments:

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 Mailing Address:
 City: State:
 Zipcode:

 

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