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Broadway Pizza® Location
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Please Select
Blaine, MN
Brooklyn Park, MN
Champlin, MN
Coon Rapids, MN
Fast & Fresh - Minneapolis, MN
Elk River, MN
Hastings, MN
Maple Grove, MN
Plymouth, MN
Richfield, MN
Rochester, MN
Rogers, MN
St. Anthony, MN
Date of Visit
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Are you:
*
First Time Broadway Patron
Occasional Broadway Patron
Regular Broadway Patron
Who Helped You (Server/Host)
Warmly Greeted by Host
1
2
3
4
Friendliness of Host
1
2
3
4
Courteously escorted to a table
1
2
3
4
Warmly Greeted by Server
1
2
3
4
Friendliness of Staff
1
2
3
4
Service Efficiency
1
2
3
4
Service Time
1
2
3
4
Quality of Food
1
2
3
4
Cleanliness & Maintenance
1
2
3
4
Atmosphere & Decor
1
2
3
4
Price/Value
1
2
3
4
Overall Experience
1
2
3
4
Were you thanked and/or invited back upon leaving?
Please Select
Yes
No
What did you enjoy?
Buffet
Pizza
Pasta
Sandwich / Wrap / Burger
Salad
Appetizers
Gluten Friendly
Is there anything we can do to make your next visit more enjoyable?
Would you recommend Broadway Pizza to your friends and family?
Please Select
Yes
No
How did you hear about Broadway Pizza?
Friend
Newspaper
Online Ad
Online
Social Media
Other
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
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