Name
*
First Name
Last Name
Email
*
example@example.com
Your City
Your State
Your Zipcode
Location
*
Hillsboro Village
Downtown Nashville
Date of Visit
*
-
Month
-
Day
Year
Date
Time of Visit
*
Early morning (6AM to 9AM)
Late morning (9AM to 11AM
Midday (11AM to 1PM)
Afternoon (1PM to 4PM
How often do you visit us?
*
This was my first visit.
A few times per year
Once every 2 months
1-2 times per month
3-5 times per month
Friendliness of Staff
*
5 (Amazing!)
4
3
2
1 (Disappointing)
Friendliness of Server
*
5 (Amazing!)
4
3
2
1 (Disappointing)
Cleanliness of Restrooms
*
5 (Amazing!)
4
3
2
1 (Disappointing)
Atmosphere
*
5 (Amazing!)
4
3
2
1 (Disappointing)
Food Quality / Presentation
*
5 Amazing (Amazing!)
4
3
2
1 (Disappointing)
Do you plan to return?
*
Yes
No
Would you recommend us to a friend?
*
Yes
No
Overall Dining Experience
*
5 (Amazing!)
4
3
2
1 (Disappointing)
Any addition comments about your visit?
Please verify that you are human
*
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