Coombs Restaurant Evaluation Survey
Please let us know about the food, service, and your dining experience.
Date & Time Survey Completed
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Day
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Hour
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10
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Minutes
AM
PM
AM/PM Option
Food Quality:
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Excellent
Good
Average
Dissatisfied
Cleanliness:
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Excellent
Good
Average
Dissatisfied
Overall Service Quality:
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Excellent
Good
Average
Dissatisfied
Speed of Service:
*
Excellent
Good
Average
Dissatisfied
Value compared to price:
Excellent
Good
Average
Dissatisfied
Overall Experience:
*
Excellent
Good
Average
Dissatisfied
Order Accuracy:
*
Excellent
Good
Average
Dissatisfied
Please give us any questions, comments, feedback, ect....
Name: (optional)
Age:
Please Select
Under 13
13-17
18-24
25-34
35-44
45-54
55 or older
E-mail: (optional)
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