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Feedback Form - Eatmazing
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* Indicates required question
Name
Your answer
Email Address
*
Your answer
Phone Number
Your answer
Dine In / Take Out
*
Dine In
Take Out
Day Visited \ Ordered
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Food Quality
*
Excellent
Good
Fair
Poor
Overall Service Quality
*
Excellent
Good
Fair
Poor
Cleanliness
*
Excellent
Good
Fair
Poor
Speed of Service
*
Excellent
Good
Fair
Poor
Value
*
Excellent
Good
Fair
Poor
Overall Experience
*
Excellent
Very good
Good
Fair
Any comments, questions or suggestions?
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