Bar Customer Feedback Form
We value your ideas! Please help us to improve ourselves by completing this quick feedback survey about your bar visit. Thanks in advance!
What is your name?
First Name
Last Name
Your email address
example@example.com
Day Visited
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
How would you rate your overall satisfaction from your visit?
1
2
3
4
5
Would you consider another visit?
Yes
No
Maybe
Service Quality
Who was your Bartender / Barmaid?
How was the order accuracy?
Not Accurate
1
2
3
4
5
6
7
8
9
Very Accurate
10
1 is Not Accurate, 10 is Very Accurate
How was the speed of service?
Very Slow
1
2
3
4
5
6
7
8
9
Right on time!
10
1 is Very Slow, 10 is Right on time!
How was the friendliness of the staff?
Not Friendly
1
2
3
4
5
6
7
8
9
Very Friendly
10
1 is Not Friendly, 10 is Very Friendly
How would you rate the overall quality of service?
1
2
3
4
5
Ambience
Music selection
1
2
3
4
5
Atmosphere
1
2
3
4
5
Photographic Environment
1
2
3
4
5
Qualified Appearance
1
2
3
4
5
Any suggestions or feedbacks regarding to bar ambience:
Cleanliness
How would you rate the cleanliness of the bar?
Very Dirty
1
2
3
4
5
6
7
8
9
So Clean!
10
1 is Very Dirty, 10 is So Clean!
How would you rate the staff hygiene?
Very Dirty
1
2
3
4
5
6
7
8
9
So Clean!
10
1 is Very Dirty, 10 is So Clean!
Any feedbacks regarding to cleanliness:
Taste / Value
What were you had in your visit?
How would you rate the freshness?
Very Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate the tastiness?
Very Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate the price/value performance?
Ridiculously pricey
1
2
3
4
Just fine!
5
1 is Ridiculously pricey, 5 is Just fine!
How did you discover us?
Via online
Seen an ad
Recommended by a friend
I was walking by
Other
Would you recommend us to your friends?
Yes, definitely!
Not sure
Absolutely not!
Any additional comment or feedback:
Submit
Should be Empty: