| We want to know what you think about your experience at The Pasta Shoppe. Please take just a few minutes to answer these questions and give us some feedback. Please include your e-mail address so we may send you a coupon to show our gratitude for your feedback! Thank you! |
Basic Information
Name: Date:
Date of Visit: Number In Your Party:
Server Name: Reason for Visit:
How Often Do You Dine
At Our Establishment?
Questions About Your Arrival:
Did you Have a Reservation? If yes, were you seated on time?
If not, were you given an estimated wait time? Were you seated within this given wait time?
Do you feel that you were greeted promptly? Did the person that greeted you make you feel
welcome and comfortable?
Questions About Your Service
Was your server friendly and accommodating?
Was your server knowledgeable and able to answer
any and all questions you had?
Questions About Your Food (please indicate which best fits your opinion)
Excellent Very Good Good Fair Poor N/A
How would you rate the taste of your meal?
The temperature of your food?
Flavor/Aroma.
Eye appeal.
Ingredients (freshness, quality, etc.)
Please rate your visit on value for the money.
Questions About The Restaurant (please indicate which best fits your opinion)
Excellent Very Good Good Fair Poor N/A
My food order was correct and complete.
Employees are patient when taking my order.
I was served promptly.
Availability of condiments, utensils, napkins, etc.
Employees are friendly and courteous.
Service quality.
Menu variety.
Quality of food.
Quality of beverages.
Restaurant Cleanliness.
Restaurant Décor and Ambience.
Restaurant Noise Level.
Quick Overall Review
Excellent Very Good Good Fair Poor N/A
Welcome - greeter, wait staff,
waiting area.
Table spacing/seating comfort.
Cocktail/wine service (selection/price).
Starters (appetizer, bread, salad, etc.)
Entrée.
Dessert.
Portions.
Complete Overall Rating Excellent Very Good Good Fair Poor
Additional Comments
Yes No
May We Contact You Regarding Your Experience?
Address: City, State, Zip:
Phone Number: E-Mail Address:
~*Once the survey is submitted you will receive an e-mail with your coupon.*~
--------------------------------------------------------------------------------
Thank you for your feedback!
Our service thrives on your suggestions!
Privacy Statement:
We will not reveal customer information to any external organization unless
we have been authorized by the customer or are required by law. This form is transmitted via
email and is not secure. Do not include credit card numbers or other secure information.
Name: Date:
Date of Visit: Number In Your Party:
Server Name: Reason for Visit:
How Often Do You Dine
At Our Establishment?
Questions About Your Arrival:
Did you Have a Reservation? If yes, were you seated on time?
If not, were you given an estimated wait time? Were you seated within this given wait time?
Do you feel that you were greeted promptly? Did the person that greeted you make you feel
welcome and comfortable?
Questions About Your Service
Was your server friendly and accommodating?
Was your server knowledgeable and able to answer
any and all questions you had?
Questions About Your Food (please indicate which best fits your opinion)
Excellent Very Good Good Fair Poor N/A
How would you rate the taste of your meal?
The temperature of your food?
Flavor/Aroma.
Eye appeal.
Ingredients (freshness, quality, etc.)
Please rate your visit on value for the money.
Questions About The Restaurant (please indicate which best fits your opinion)
Excellent Very Good Good Fair Poor N/A
My food order was correct and complete.
Employees are patient when taking my order.
I was served promptly.
Availability of condiments, utensils, napkins, etc.
Employees are friendly and courteous.
Service quality.
Menu variety.
Quality of food.
Quality of beverages.
Restaurant Cleanliness.
Restaurant Décor and Ambience.
Restaurant Noise Level.
Quick Overall Review
Excellent Very Good Good Fair Poor N/A
Welcome - greeter, wait staff,
waiting area.
Table spacing/seating comfort.
Cocktail/wine service (selection/price).
Starters (appetizer, bread, salad, etc.)
Entrée.
Dessert.
Portions.
Complete Overall Rating Excellent Very Good Good Fair Poor
Additional Comments
Yes No
May We Contact You Regarding Your Experience?
Address: City, State, Zip:
Phone Number: E-Mail Address:
~*Once the survey is submitted you will receive an e-mail with your coupon.*~
--------------------------------------------------------------------------------
Thank you for your feedback!
Our service thrives on your suggestions!
Privacy Statement:
We will not reveal customer information to any external organization unless
we have been authorized by the customer or are required by law. This form is transmitted via
email and is not secure. Do not include credit card numbers or other secure information.
Customer Survey
323 N. Franklin St.
Port Washington, WI
53074
(262) 284-9311
Port Washington, WI
53074
(262) 284-9311
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