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Questionnaire template

Restaurant Customer Feedback

Diners rate their visit, main dish, service and intention to return or recommend, plus basic demographics.

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Other · Feedback forms. All Other templates

Questions in this template

Your Visit

  1. Thank you for dining with us. Please take a couple of minutes to tell us how your visit went.

  2. How would you rate your visit overall?

    Choose one:

    • Excellent
    • Good
    • Fair
    • Poor
    • Very poor

  3. How would you rate each of the following?

    • Quality of the food
    • Friendliness of the staff
    • Cleanliness
    • Atmosphere
    • Value for money

    For each row: choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent

Your Meal

  1. Thinking of your main dish, how would you score each of these? (1 = very poor, 10 = outstanding)

    • Taste
    • Portion size
    • Presentation
    • Temperature when served

    For each row: choose one:

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10

Service

  1. How would you rate our service on each of these?

    • How long you waited for your food
    • How attentive the staff were
    • How well staff knew the menu

    For each row: choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent

  2. Is there anything else you would like to say about our staff or service? (optional)

    Open answer

Coming Back

  1. Will you eat with us again?

    Choose one:

    • Definitely yes
    • Probably yes
    • Not sure
    • Probably not
    • Definitely not

  2. Would you recommend us to friends or family?

    Choose one:

    • Yes
    • Maybe
    • No

About You

  1. How old are you?

    A number from 16 to 110

  2. What is your gender?

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say