Survey

Thank you for taking the time to complete the EastSide Grill's customer feedback survey. Your opinions are extremely valuable, and will help us to improve your dining experience!

Your responses are completely confidential and will only be used for research purposes. Your responses will be analyzed only in combination with those of other participants. Upon completion of this survey you will be rewarded a coupon for 10% off on your next visit to The EastSide Grill and a chance to win dinner for two (a $25.00 value).

___________________________________________________________________________________

What day did we serve you? (mm/dd/yyyy)

What time did you visit us?

Who was your server? (Name is on the bill)

Please rate the following qualities using a 5-point scale where "5" is "Excellent" and "1" is "Poor".

Overall dining

experience

Do you feel like you were treated as a valued customer?

Based on your recent visit, would you recommend us to a friend?

___________________________________________________________________________________

The Meal

Please rate the following qualities using a 5-point scale where "5" is "Excellent" and "1" is "Poor".

Overall meal:

Taste:

Presentation:

Are there any items you would like to see added to the menu?

___________________________________________________________________________________

The Service

Please rate the following qualities using a 5-point scale where "5" is "Excellent" and "1" is "Poor".

Overall service:

Attentiveness of

server:

Courtesy demonstrated by

server:

Prompt delivery of

food & beverages:

How can our waitstaff provide better service in the future?

___________________________________________________________________________________

Value

Please rate the following qualities using a 5-point scale where "5" is "Excellent" and "1" is "Poor".

Dollar

value:

Compared to other restaurants of similar cuisine, how do our prices compare?

___________________________________________________________________________________

Miscellaneous

Where did you first hear about The EastSide Grill?

What is your e-mail address?

Would you like to be sent e-mail information about The EastSide Grill promotions?

Please Provide the following information:

First Name:

Last Name:

Street Address:

City:

State:

Zip: