Ticket Number

Date of Visit

Location New Hartford Syracuse Utica

Is this your first Visit at The Italian Chef? Yes No

What time did you visit our restaurant? Lunch(10am-3pm) Dinner (4pm-10pm) Other/Takeout

Name

Email Address

Phone Number

Zipcode

Yes. Send me money saving coupons to my email address.

How would you rate the Cleanliness of our Restaurant? Excellent Good Acceptable Needs Improvement Poor

How was the seating space during your visit? Excellent Good Acceptable Needs Improvement Poor

How would you rate the customer service during your visit? Excellent Good Acceptable Needs Improvement Poor

How would you rate our menu selection? Excellent Good Acceptable Needs Improvement Poor

How would your rate our prices? Excellent Good Acceptable Needs Improvement Poor

How was the taste of your food? Excellent Good Acceptable Needs Improvement Poor

How would you rate the presentation of the food? Excellent Good Acceptable Needs Improvement Poor

How would you rate the portion size of your meal? Excellent Good Acceptable Needs Improvement Poor

How would you rate the Quality of your meal? Excellent Good Acceptable Needs Improvement Poor

How satisfied where you with your food? Excellent Good Acceptable Needs Improvement Poor

How did you Hear about us? TV Advertisment Online Advertisement Search Yellow Pages Newspaper

Other

Have you ordered online from us? Yes No

How would you rate your visit? Excellent Good Acceptable Bad Poor

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