Customer Review Form

Customer Review Form
Thank you for ordering from Agbons Home Meals. We'd love to hear your feedback! Please fill out the form below:
Name
Name on order placed
Order Date

MonthDayYear
Please summarize your experience with us here:
Can we share your above response on social media?
Overall rating

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best

Satisfaction Rating

Rows	Perfect	Excellent	Very Good	Good	Okay
Food Quality
Food Taste
Customer Service
Price
Dessert
Professionalism
Overall Experience

Did your order meet your expectations?
What are you most satisfied with?
The Pros
What would you suggest needs improvement?
The Cons
Would you refer us to your friends, family, or colleagues?
Would you like to receive emails about our future menus and related services?
Email
example@example.com
Should be Empty: