Restaurant Service Speed Assessment Form
Help us improve by evaluating the speed of your recent dining experience.
Restaurant Name or Location
*
Date and Time of Your Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Visit
*
Dine-in
Takeout
Delivery
Other
How long did you wait to be seated? (in minutes)
*
How long did it take for your order to be taken after being seated? (in minutes)
*
How long did it take to receive your food after ordering? (in minutes)
*
Please rate the speed of service for each stage below.
*
Rows
Very Slow
Slow
Acceptable
Fast
Very Fast
Being Seated
1
2
3
4
5
Order Taken
6
7
8
9
10
Food Delivered
11
12
13
14
15
Bill Received
16
17
18
19
20
Overall, how satisfied are you with the speed of service?
*
1
2
3
4
5
Would you recommend our restaurant based on the speed of service?
*
Yes
No
Maybe
Additional comments or suggestions about our service speed
Your name (optional)
Email address (optional, if you would like us to follow up)
example@example.com
Submit Assessment
Should be Empty: