Restaurant Food Evaluation Survey
Please share your dining experience so the restaurant can review food quality, service, and overall satisfaction.
Dining Experience
Visit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Meal Period
*
Please Select
Breakfast
Lunch
Dinner
Late Night
Other
Visit Type
*
Dine-in
Takeaway
Delivery
Other
Overall Visit Satisfaction
*
1
2
3
4
5
Food Evaluation
Rate the following food attributes
*
Rows
Excellent
Good
Average
Poor
Taste
1
2
3
4
Presentation
5
6
7
8
Portion size
9
10
11
12
Freshness/temperature
13
14
15
16
Overall food taste rating
*
1
2
3
4
5
Portion size satisfaction
*
Too small
1
2
3
4
5
6
7
8
9
Too large
10
1 is Too small, 10 is Too large
Freshness/temperature of the food
*
Very fresh and served at the right temperature
Mostly fresh and mostly at the right temperature
Acceptable
Could be better
Poor
Service and Feedback
Service Quality
*
1
2
3
4
5
Would you recommend this restaurant?
*
Yes
Maybe
No
Comments or Suggestions
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