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Fields
Restaurant Evaluation Form
Restaraunt Name
Restaurant Location
Date/Time of Arrival
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Month
Jan
Feb
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Apr
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Jun
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Day
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Year
2019
2020
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2024
2025
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2029
Hour
01
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Minute
:
00
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AM/PM
AM
PM
Check Amount
Meal Description
Name
First Name
Last Name
Service
When arriving, did the host(ess):
When arriving, did the host(ess):
Yes
No
N/A
Open the door upon entering?
When arriving, did the host(ess):: Open the door upon entering? (Yes)
Open the door upon entering? (No)
Open the door upon entering? (N/A)
Greet you in a pleasing manner
Greet you in a pleasing manner (Yes)
Greet you in a pleasing manner (No)
Greet you in a pleasing manner (N/A)
Convey the feeling that you were a valued customer?
Convey the feeling that you were a valued customer? (Yes)
Convey the feeling that you were a valued customer? (No)
Convey the feeling that you were a valued customer? (N/A)
Seat you and deliver menus in a courteous manner?
Seat you and deliver menus in a courteous manner? (Yes)
Seat you and deliver menus in a courteous manner? (No)
Seat you and deliver menus in a courteous manner? (N/A)
Quote your wait accurately within 10 minutes?
Quote your wait accurately within 10 minutes? (Yes)
Quote your wait accurately within 10 minutes? (No)
Quote your wait accurately within 10 minutes? (N/A)
Was the host(ess) properly attired?
Was the host(ess) properly attired? (Yes)
Was the host(ess) properly attired? (No)
Was the host(ess) properly attired? (N/A)
After being seated, did your server:
After being seated, did your server:
Yes
No
N/A
Arrive within one to two minutes to take your order?
After being seated, did your server:: Arrive within one to two minutes to take your order? (Yes)
Arrive within one to two minutes to take your order? (No)
Arrive within one to two minutes to take your order? (N/A)
Extend a warm greeting and introduce themselves by name?
Extend a warm greeting and introduce themselves by name? (Yes)
Extend a warm greeting and introduce themselves by name? (No)
Extend a warm greeting and introduce themselves by name? (N/A)
Convey the feeling that you were a valued customer?
Convey the feeling that you were a valued customer? (Yes)
Convey the feeling that you were a valued customer? (No)
Convey the feeling that you were a valued customer? (N/A)
Was your table properly set?
Was your table properly set? (Yes)
Was your table properly set? (No)
Was your table properly set? (N/A)
Meal Quality
On a scale of 1-5 (where 1 is the worst and 5 is the best), please rate your meal:
On a scale of 1-5 (where 1 is the worst and 5 is the best), please rate your meal:
1
2
3
4
5
N/A
Beverage
On a scale of 1-5 (where 1 is the worst and 5 is the best), please rate your meal:: Beverage (1)
Beverage (2)
Beverage (3)
Beverage (4)
Beverage (5)
Beverage (N/A)
Appetizer
Appetizer (1)
Appetizer (2)
Appetizer (3)
Appetizer (4)
Appetizer (5)
Appetizer (N/A)
Entree
Entree (1)
Entree (2)
Entree (3)
Entree (4)
Entree (5)
Entree (N/A)
Dessert
Dessert (1)
Dessert (2)
Dessert (3)
Dessert (4)
Dessert (5)
Dessert (N/A)
If you rated your meal as less than 3, please explain why so that we could improve future experiences.
Overall Experience Rating
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