Restaurant Mystery Shopper Evaluation Form
Please complete this form to provide your detailed assessment of your recent restaurant visit as a mystery shopper.
Mystery Shopper Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Date and Time of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Restaurant Location
*
Staff and Service Evaluation
*
Rows
Friendliness
Attentiveness
Knowledge of Menu
Host/Hostess
1
2
3
Server
4
5
6
Manager (if interacted)
7
8
9
Speed of Service (from order to food arrival)
*
Very Slow
1
2
3
4
Very Fast
5
1 is Very Slow, 5 is Very Fast
Food Quality Rating
*
1
2
3
4
5
Cleanliness Assessment
*
Rows
Excellent
Good
Fair
Poor
Dining Area
10
11
12
13
Restrooms
14
15
16
17
Tableware/Utensils
18
19
20
21
Was the bill accurate and presented promptly?
*
Yes
No
Did you observe any issues or areas for improvement?
Additional Comments or Suggestions
Submit Evaluation
Should be Empty: