My Restaurant
Guest Survey
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Bulgarian
Chinese (simplified)
English
French
German
Greek
Italian
Portuguese (Brazil)
Portuguese (Portugal)
Russian
Spanish
Are you
Male
Female
* Which range best describes your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or more
* How far do you normally travel to dine out?
Up to 10 km (6.2 miles)
11-20 km (6.8-12.5 miles)
21-30 km (13-18.6 miles)
Over 30 km (18.6 miles)
* How frequently do you typically dine out?
Daily
Weekly
Monthly
Once every 3 months
Once every 6 months or less
* How much do you typically spend on dinner for two?
Under $40
$41-$60
$61-$80
$81-$100
Over $100
* What prompted you to dine with us?
Location/Convenience
Previous experience
Seeing the menu first
Friend's recommendation
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Other
* When was the last time your visited our restaurant?
Within the last week
Within the last month
Between 1 and 3 months
Between 3 and 6 months
More than 6 months
* What is the main reason for selecting a restaurant?
Location
Atmosphere
Service
Quality of food
Menu selection
Price/Value
Wine selection
Beverage selection
* What is your favorite restaurant in town and why?
* How likely is it that you would recommend our restaurant to a friend?
Choose...
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* Additional Comments
* Your Name
* Email Address (so we can contact you)
* - please complete all required questions