Survey Topic: Sample Restaurant

1. Please supply us with your contact information:

Name: 

Email Address: 

 

2. How many times do you currently eat out approximately per month?
0-2
3-5
6-10

11-20
21+

 
3. What type of cuisine do you prefer the most?
American
Chinese
Italian
Japanese
Greek
French
Other
 
4. Which of the following is the most true of the following
I typically eat out just myself or with another person the most
I typically eat out with my entire family the most
I typically eat out with my co-workers the most
 
5. Do you typically eat out at sit down restaurants more than fast food restaurants?
Yes
No
Don't know
 
6. What things were you happy with in your last restaurant visit?
 
7. How much did you pay (an average) for your last bill at a restaurant?
 
8. How satisfied are you with your overall experience?
Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
 
9. Of the following list which is important to you when choosing your restaurant?
Menu selection
Cost
Service
Atmosphere
Location
Quality of food
 
10. Of the three you just listed, please rank them first, second and third in importance to you:
1.
2.
3.
 
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