Customer
Feedback Form
Date of your visit {DD-MM-YYYY}
Time of Visit
Do you know who you were served by? If so, please state
What did you have to eat?
What did you have to drink?
How often do you visit?
Other favourite eating out places
Tell us more
Would you recommend Springs to a friend?
How would you rate the following?
Customer Service
Excellent
Good
Reasonable
Poor
Very Poor
Variety
Excellent
Good
Reasonable
Poor
Very Poor
Cleanliness
Excellent
Good
Reasonable
Poor
Very Poor
Food
Excellent
Good
Reasonable
Poor
Very Poor
Delivery service
Excellent
Good
Reasonable
Poor
Very Poor
Staff experience
Excellent
Good
Reasonable
Poor
Very Poor
Overall experience
Excellent
Good
Reasonable
Poor
Very Poor
Title
Name
Gender
Male
Female
Your age
Address
Post code
Contact number
E-mail