Nick & Jimmy's Bar and Grill Temperance

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1. Bartender
	Not Satisfactory	Good	Excellent	Truly Superior
Courtesy & Friendliness
Appearance
Service of Bartender

2. Server
	Not Satisfactory	Good	Excellent	Truly Superior
Courtesy & Friendliness
Appearance
Attentiveness
Timing & Promptness

3. Food
	Not Satisfactory	Good	Excellent	Truly Superior
Appearance
Temperature
Portion Sizes
Taste
Quality

4. Overall Meal Experience
	Not Satisfactory	Good	Excellent	Truly Superior
Service
Ambiance
Food
Price

5. Compared to similar restaurants, our restaurant is...
	Not as good		Better
	About the same		Much better

6. What did you like best about our restaurant?

7. Was there anything you didn't like?

8. What could we do to make your dining experience better?

Restaurant
E-mail
Date
Number in Party
Server's Name