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Questionnaire template

Restaurant Dining Feedback

Collects diners' ratings of the visit, menu, service, staff and atmosphere after eating at a restaurant.

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Questions in this template

Your Visit

  1. Thank you for dining with us. A few minutes of your time tells us what to keep and what to change.

  2. Overall, how would you rate your visit?

    Choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent

  3. Which part of your visit made the strongest impression on you?

    Choose one:

    • Food
    • Service
    • Atmosphere
    • Value for money
    • Cleanliness
    • Other

  4. What else made a strong impression?

    Condition: Shown when Other was chosen

    Open answer

  5. How would you rate each of the following?

    • Food
    • Service
    • Value for money

    For each row: choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent

The Menu

  1. How would you rate the range of choices on our menu?

    Choose one:

    • Excellent
    • Good
    • Fair
    • Poor

  2. On a scale from 1 (not at all satisfied) to 10 (completely satisfied), how satisfied were you with each part of your meal?

    • Starter
    • Main course
    • Dessert
    • Drinks

    For each row: choose one:

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • Did not order

  3. Are there dishes or drinks you would like us to add to the menu? (optional)

    Open answer

Service and Staff

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

    • Friendliness
    • Professionalism

    For each row: choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent

  2. Thinking about the pace of service, was each of these quick enough?

    • Being greeted and seated
    • Food arriving at the table
    • Requests during the meal being handled

    For each row: choose one:

    • Yes
    • Not sure
    • No

Atmosphere and Cleanliness

  1. How would you rate the dining room on each of these?

    • Atmosphere
    • Cleanliness

    For each row: choose one:

    • Excellent
    • Good
    • Fair
    • Poor

Final Thoughts

  1. Would you recommend us to friends or family?

    Choose one:

    • Yes
    • No

  2. Is there anything else you would like to tell us about your visit? (optional)

    Open answer