General Information
* The customer survey can only be filled out once a month. Coupon offer is only available once a month.
Name
Email Address
Date Visited
Date
Time Visited
(23:35:00)
Number in party
- Select -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
More than 50
How often do you dine at Kianti's?
Once a week
First time
Once a month
Other
How busy would you rate the restaurant?
Full with a wait
Full
Half full
Less than half
Service
How welcome did your server make you feel?
Excellent
Satisfactory
Disappointing
Overall speed and efficiency of your server?
Excellent
Satisfactory
Disappointing
How knowledgeable was your server regarding our products?
Excellent
Satisfactory
Disappointing
If you remember your server's name, please list here
Service Comments
Food
Rate the overall quality of your meal.
Excellent
Satisfactory
Disappointing
Rate the overall presentation of your meal.
Excellent
Satisfactory
Disappointing
Rate the consistency of your food.
Excellent
Satisfactory
Disappointing
Non-applicabale
Food Comments
Atmosphere
Rate the appearance of our staff.
Excellent
Satisfactory
Disappointing
Were the floors, tables, chairs & utensils clean?
Excellent
Satisfactory
Disappointing
Were the restrooms clean & stocked?
Excellent
Satisfactory
Disappointing
Atmosphere Comments
Overall Rating
Rate your first impression.
Excellent
Satisfactory
Disappointing
Did you feel valued as a customer?
Excellent
Satisfactory
Disappointing
Did you consider your meal a good value?
Excellent
Satisfactory
Disappointing
Would you return or recommend us?
No
Yes
Overall Comments
