COVID 19 Restaurant Status Update

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hello Originals,

Please use this form to provide us with information about your restaurant's current offerings (dine in, take out, delivery etc.) We will share this information with the public on our website and social media platforms. If your status changes after you have submitted this form, please e-mail us or submit a new form.

Email *

Restaurant Name *

Are you open for standard business (dine in?)

Yes

Other:

Clear selection

Have you altered your operational hours? If so, please list your new hours below.

Are you offering take-out?

Yes (by phone)

Yes (online and by phone)

Clear selection

Are you offering curbside pick up for take-out?

Yes, we are offering curbside pick up

No, patrons must come into the restaurant

Other:

Clear selection

Are you able to offer take-out or delivery for wine, beer or liquor? Please list details below.

Are you offering delivery?

Yes

Clear selection

Which delivery services are you using?

Bitesquad

Uber Eats

Grub Hub

Post Mates

Door Dash

We are offering our own internal delivery service, managed by restaurant staff

Other:

Are you offering any special incentives to customers dining in, ordering take out or delivery? If so, please provide details below.

How can guests purchase gift certificates for your restaurants?

By Phone

Online

By Phone or Online

Other:

Clear selection

Are you offering any incentives for purchasing gift certificates? (Example: Spend $100 get $20 free.) Please provide more details below.

Are you altering your live entertainment/band schedules?

Are there any other details you would like us to share? A specific website link to order online? Any other announcements about event cancellations? Etc.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Freshoriginals.com. Report Abuse

Forms