Comment Card
Thank you for coming to Izokaya, please help us improve our service.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date You come to Izokaya
Phone Number
*
-
Area Code
Phone Number
Food Ordered
*
Please Select
Chicken Kushikatsu
Prawn Kushikatsu
Shiitake Kushikatsu
Chicken Kushikatsu Don
Mix Kushikatsu Don
Drink Ordered
*
Please Select
Ocha
Mineral Water
Soda
Not Ordering
From where did You knew about Izokaya?
*
Please Select
Instagram
Tiktok
Friend
Passing By
Others
With whom You come to Izokaya?
*
Please Select
Alone
Friend
Family
Others
Back
Next
Please kindly rate us!
Rate Izokaya today!
Food
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's food today!
Drink
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's drink today!
Waiting Time
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's waiting time today!
Atmosphere
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's atmosphere today!
Service and Greeting
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's service and greeting today!
Cleanliness
*
Please Select
Outstanding
Good
Decent
Average
Bad
Please rate Izokaya's cleanliness today!
Suggestion for Izokaya!
*
Back
Next
Thank You!
Thank you so much for the feedback for us. As complimentary, we like to give you “free kushikatsu”* as reward of your feedback. Please give this form to our waiter. See you on your next visit!
Submit Feedback
Should be Empty: