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CUSTOMER SATISFACTION SURVEY
We value your patronage and appreciate your valuable feedback on our service, food quality and your dining experience.

Please fill out the short form below.		 Evas Customer Satisfaction Survey
  Door Host/Greeter
      Not
Satisfactory		 Good Excellent Outstanding
  Courtesy & friendliness of door host or greeter  
  Appearance  
  Server
      Not
Satisfactory		 Good Excellent Outstanding
  Courtesy  
  Attentiveness  
  Appearance  
  Timing & promptness  
  Food
      Not
Satisfactory		 Good Excellent Outstanding
  Appearance  
  Temperature  
  Portion Sizes  
  Taste  
  Quality  
  Overall Meal Experience
      Not
Satisfactory		 Good Excellent Outstanding
  Service  
  Ambiance  
  Food  
  Price  
  Value  
Was there anything you didn't like?  
What could we do to make your dining experience better?  
What did you like best about our restaurant?  
Are you male or female?  
Male  
Female  
Are you between the ages of:  
Under 12  
13-20  
21-30  
31-40  
41-50  
51-60  
61-70  
71+  
Was this your first visit to one of our restaurants?  
Yes  
No  
On your recent visit, did you come for:  
Breakfast  
Lunch  
Dinner  
Carry Out  
On this visit, why did you attend Eva's Pancake House & Restaurants?  
On Business
With Family
Other
 
If you have visited Eva's more than once, on average, how often do you visit?  
Once Every 6 Months
Once Every Other Month
One Time Per Month
2 Times Per Month
1 Time Per Week
More Than 2 Times Per Week
What's your favorite thing to eat at Eva's?  
What new items would you like to see on our Menu?  
If we don't have an Eva's Pancake House & Restaurants near you, where would you like us to open a new location?  
Compared to similar restaurants, our restaurant is ...  
Not as good  
About the same  
Better  
Much better  
  Date (MM/DD/YYYY)  
  Number in Party  
  Server's Name:  
  Location Attended:  
  Optional Information (below):
  Your Name:  
  Address:  
  City:  
  State:  
  Zip Code:  
  Telephone:  
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