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Downtown Austin/6th Str
Downtown Dallas
San Antonio Riverwalk
Name
First
Last
Address
Street Address
Address Line 2
City
State
ZIP / Postal Code
Home Phone
Work Phone
Email
*
Tell us about your Visit
Name of your Server
Date of your Visit
Time of Visit
:
HH
MM
AM
PM
Reason for Visit
Lunch
Dinner
Special Event
Service - Friendliness of Host Staff
Poor
Good
Outstanding
Service - Friendliness of Server
Poor
Good
Outstanding
Service - Attentiveness of Staff
Poor
Good
Outstanding
Food - How was the flavor of your meal?
Poor
Good
Outstanding
Food - Did you receive good value?
Poor
Good
Outstanding
Food - Was the temperature of the food what you expected?
Poor
Good
Outstanding
Food - Did you take any Home?
Yes
No
Beverages - How was your Margarita?
Poor
Good
Outstanding
Beverages - Was your beer cold?
Yes
No
Beverages - Did you have enough selections to choose from?
Yes
No
Beverages - Were refills delivered in a timely fashion?
Yes
No
Overall - How would you rate your visit?
Poor
Good
Outstanding
Overall - Was a Manager visible?
Yes
No
Overall - Did the Manager visit your table?
Yes
No
Overall - Did we "WOW" you?
Yes
No
Additional Comments, Please feel to express your enthusiasm here!
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Comment Card
was last modified:
February 8th, 2016
by
Iron Cactus Mexican Restaurants
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