1. WHICH DAY DID YOU VISIT THIS BUSINESS?
Visit Month Janary February March April May June July August September October November December Visit Year 2006 2007 2008

2. WAS THIS YOUR FIRST VISIT TO MAD RIVER BAR & GRILLE?
Select One Yes No

3. DID YOU DINE WITH US FOR LUNCH OR DINNER?
Select One Lunch Dinner

4. HOW DO YOU VIEW THIS BUSINESS?
Select One Irish Pub Sports Bar College Bar College Hang Out Restaurant

5. WHEN YOU ENTERED THE BUSINESS, WERE YOU GREETED IN A TIMELY MANNER?
Select One Yes Acceptable No

6. DID YOUR SERVER INTRODUCE HIMSELF/HERSELF IN A TIMELY MANNER?
Select One Yes No

7. WAS YOUR DRINK ORDER TAKEN IN A TIMELY MANNER?
Select One Yes Acceptable No

8. DID YOU FIND THE RESTAURANTS DINING AREA TO BE CLEAN AND WELL KEPT?
Select One Very Clean Acceptable Not At All

9. WAS THE AMBIANCE OF THE RESTAURANT PLEASANT(MUSIC, MUSIC LEVEL, LIGHTING, DECOR, ETC.)?
Select One Yes Somewhat No

COMMENT ABOUT THE AMBIANCE

10. DID YOUR SERVER INFORM YOU OF OUR SPECIALS AND SUGGEST AN APPETIZER?
Select One Yes To Both Yes To One Not At All

11. WAS YOUR FOOD ORDER TAKEN IN A TIMELY MANNER?
Select One Yes Acceptable No

12. WAS YOUR FOOD ORDER DELIVERED IN A TIMELY MANNER?
Select One Yes Acceptable No

13. WAS YOUR FOOD DELIVERED AS ORDERED (RARE, MED-RARE ETC.)?
Select One Yes Had To Send Item(s) Back- Undercooked Had To Send Item(s)Back- Overcooked Order Was Served With Item(s) Missing/Incorrect

14. DID YOUR MEAL ARRIVE AT AN ACCEPTABLE TEMPERATURE?
Select One Yes No

15. WAS THE SERVER ATTENTIVE TO YOUR TABLE?
Select One Over Attentive Just Right No

16. DID YOUR SERVER THANK YOU FOR VISITING MAD RIVER?
Select One Yes No

17. HOW WOULD YOU RATE THE PRESENTATION OF THE FOOD?
Select One Excellent Good Average Fair Poor

18. HOW WOULD YOU RATE THE PORTION SIZE OF YOUR FOOD?
Select One Generous Good Fair Poor

19. HOW WOULD YOU RATE YOUR MEAL?
Select One Excellent Good Average Fair Poor

20. HOW WOULD YOU RATE THE QUALITY OF THE FOOD?
Select One Excellent Good Average Poor

21. HOW WOULD YOU RATE OUR PRICES?
Select One Excellent Good Average Fair Poor

22. DID YOU FIND THE BATHROOMS ACCEPTABLE?
Select One Yes Somewhat No Need Immediate Attention

23. AFTER THIS VISIT, WOULD YOU RECOMMEND THIS BUSINESS TO OTHERS?
Select One Yes No

24. HOW DID YOU HEAR ABOUT US?
Select One Friend/Family Newspaper Radio TV Website Yellow Pages Other

25. ARE YOU AWARE MAD RIVER HAS PRIVATE PARTY AREAS?
Select One Yes No

26. ARE YOU AWARE MAD RIVER IS OPEN FOR DINNER SEVEN NIGHTS A WEEK?
Select One Yes No

27. PLEASE PROVIDE US WITH ANY SPECIFIC COMMENTS THAT YOU MAY HAVE:

FIRST NAME:*
LAST NAME:
EMAIL:*

BIRTHDAY:*

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