Guest Satisfaction Survey
When did you dine with us?
*
/
Month
/
Day
Year
Date
Around what time?
*
Hour Minutes
AM
PM
AM/PM Option
Please rate how strongly you agree or disagree with each of the statements related to food quality. If you have additional comment please write it to the last column.
Totally Disagree
Disagree
Agree
Totally Agree
Not Applicable
Comments
The taste of the meals was excellent.
The quality of the food was excellent.
The Buffet Bar has a great variety to choose from.
The food has distinct and excellent flavors.
The drinks are just the right temperature.
The food was just the right temperature.
Overall, how satisfied are you with the food quality?
1
2
3
4
5
Score 1-5 with 5 STARS being the BEST
Please rate how strongly you agree or disagree with each of the statements related to your SERVER. If you have additional comment please write it to the last column.
Totally Disagree
Disagree
Agree
Totally Agree
Not Applicable
Comments
My Server was courteous and polite.
My Server was attentive and available when I needed him/her.
My Server anticipated my needs.
My Server refilled my drinks in a timely manner
.
What was your Servers Name?
Overall, how satisfied are you with your Server?
1
2
3
4
5
Score 1-5 with 5 STARS being the BEST
Please rate how strongly you agree or disagree with each of the statements related to restaurant. If you have additional comment please write it to the last column.
Totally Disagree
Disagree
Agree
Totally Agree
Not Applicable
Comments
The sound system was good and the noise did not bother me.
Sauces, utensils, napkins, and other stuff I need were available.
It was a pleasant place to sit and enjoy your meals.
The value I got for the price paid was excellent.
I would recommend here to my friends and colleagues.
Please rate how strongly you agree or disagree with each of the statements related to restaurant. If you have additional comment please write it to the last column.
YES
NO
Comments
If you visited the restrooms, were the facilities clean and well-stocked?
Overall, how satisfied are you with the restaurant?
1
2
3
4
5
Score 1-5 with 5 STARS being the BEST
What did you like most about our food and service?
Everyone can improve on something, what could we improve on?
Which Buffet did you order?
Breakfast
Lunch
Brunch
Other
How many people were at your table including you?
Only me
2
3
4
Do you have any additional comments or suggestions?
Suggestion to improve, notes to chefs, praise, complaint, etc.
Would you be interested in receiving special offers (by text)?
YES please add my cell phone
No Thank you
Cell Phone
*
By providing my cell phone number I agree to receive texts to that number from 251 Country Buffet. Msg & Data Rates May Apply. You can Text STOP at anytime to opt out.
I would like:
*
to SUBMIT this survey now
to ADD my contact information
a MANAGER to follow up with me
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Submit
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