FEEDBACK FORM
Service
Kamat Branch
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AL QUSAIS
BUSINESS BAY
DALMA MALL
KING FAISAL STREET
AL MANKHOOL
JLT
AL WAHDA MALL
IBN BATTUTA MALL
CITY CENTRE DEIRA
Type of Visit
Dine In
Take Away
Home Delivery
Date Of Visit
Service Staff Name
Feedback
1. How would you describe your experience in the restaurant ?
Delighted
Satisfied
Disappointed
2. Would you come back again ?
Yes
no
3. Comment on Food Flavor/ Taste:
Delighted
Satisfied
Disappointed
4. Comment on Variety/Choice of Menu item:
Delighted
Satisfied
Disappointed
5. Comment on Speed of Service
Delighted
Satisfied
Disappointed
6. Comment on Efficiency of Service
Delighted
Satisfied
Disappointed
7. Comment on Service Staff Courtesy
Delighted
Satisfied
Disappointed
8. Comment on Ambience
Delighted
Satisfied
Disappointed
9. Comment on Cleanliness
Delighted
Satisfied
Disappointed
10. Comment on Pricing (in relation to overall dining experience)
Delighted
Satisfied
Disappointed
11. What did you particularly like ?
12. Which two dishes would you like us to add to our menu ?
13. How often do you dine at this restaurant ?
Weekly
Monthly
Infrequently
Customer Details
First Name
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Last Name
Address
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City
Postal / Zip Code
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Country
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Korea, Republic of
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Virgin Islands, U.S.
Wallis and Futuna
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Email Address
Phone
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