Comment Card

HOW DID WE DO?

Thank you for dining with us. We know you have many choices and we are HAPPY you chose us.  Do you have any questions, compliments or suggestions for improvement? Please complete the card below. We would love to hear from YOU!

Location:

Date:
       Time: (Ex: 3:15 PM)


Number in Party:   Guest Check #

Type of Visit:
Dine In
To Go

Food & Beverage

Items ordered?

Rating Scale: 5 - Excellent   3 - Average   1 - Poor  

Taste: 5 4 3 2 1
Appearance: 5 4 3 2 1  
Temperature: 5 4 3 2 1
Timeliness: 5 4 3 2 1
Value: 5 4 3 2 1
Portion Size: 5 4 3 2 1

Was your order prepared properly?  
Yes   
No

Comments:

Staff

Rating Scale: 5 - Excellent   3 - Average   1 - Poor  

Greeting at the Door:
Friendliness: 5 4 3 2 1  
Prompt: 5 4 3 2 1  
Appearance: 5 4 3 2 1  

Comments:

Server’s Name:

Friendliness: 5 4 3 2 1  
Prompt: 5 4 3 2 1  
Appearance: 5 4 3 2 1
Attentiveness: 5 4 3 2 1
Knowledge: 5 4 3 2 1

Comments About Server:


Restaurant

Rating Scale: 5 - Excellent   3 - Average   1 - Poor  

Appearance: 5 4 3 2 1
Cleanliness: 5 4 3 2 1  
Ambiance: 5 4 3 2 1

Comments:

Your Thoughts

Did a Manager visit your table?   
Yes  
No

Will you visit again?   
Yes  
No

Would you recommend us to your Amigos, Family and Co-workers? 
Yes  
No

Did you dine with us for:        
Lunch
Dinner

How often do you dine with us?  
First Time 
Once a week 
Twice a month  
Once a month    
Other

On average how often to you dine out in a week? 
1 Time 
2-3 Times
4-5 Times
6 or more   


If we were not open today where would you have dined?


What influenced to you to come to Casa Olé today?
Saw a Commercial 
Heard a Commercial 
Saw a billboard 
Drive By
Direct mail 
Family/Friend brought you   
Its Casa, It’s what we do 
Email Offer
Text Offer

Other

Any additions you would suggest to the menu?


Your Info

We promise that any information you provide will remain strictly confidential. It is our policy not to sell, rent, distribute or in any way make available your name, e-mail address or any other personal information to any third party.

Mr.  Ms.  Mrs.  Dr. 

First Name:

Last Name:

Email Address:

Would you like to join our Eclub? 
Yes No

Street Address: Apt. #:

City:    State:   Zip:

Would you like to be added to our mailing list? Yes No

Home Phone:

Work Phone:

Comments: