Outlet Feedback Form
Date of your visit
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please select the venues you visited
Restaurant
Pool bar
Jazz bar
Lobby lounge & terrace
Cultural restaurant
In-room dining
Lounge
Shops
Parking areas
Washroom
Other
How satisfied are you with the food?
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Choice
1
2
3
4
5
Flavor
6
7
8
9
10
Freshness
11
12
13
14
15
Presentation
16
17
18
19
20
Temperature
21
22
23
24
25
Value for Money
26
27
28
29
30
Portion Size
Too small
Too large
Just right
Other
Any comment about the food?
How satisfied are you with the merchandising & layout?
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Brand diversity
31
32
33
34
35
Product range
36
37
38
39
40
Display of products
41
42
43
44
45
General layout
46
47
48
49
50
Sale, promotion and impulse lines
51
52
53
54
55
Any comment about the merchandising & layout?
How satisfied are you with the overall service?
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Friendly
56
57
58
59
60
Professional
61
62
63
64
65
Explanation of menu
66
67
68
69
70
Time is taken to be served
71
72
73
74
75
Account settlement
76
77
78
79
80
Any comment about the service?
How satisfied are you with the venue?
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Cleanliness
81
82
83
84
85
Ambience
86
87
88
89
90
Decoration
91
92
93
94
95
Restroom cleanliness
96
97
98
99
100
Staff presentation
101
102
103
104
105
Background music
106
107
108
109
110
Entertainment
111
112
113
114
115
Any comment about the venue?
Please rate your experience with us today
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please rate how likely would you recommend us to your family or friends
Unlikely
1
2
3
4
Very Likely
5
1 is Unlikely, 5 is Very Likely
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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