Contact Information:
Email:
Name:
Address:
City:
State / Province:
Zip Code:
Gender:
Female
Male
Age Range:
Under 18
18-24
25-34
35-44
45-54
55 or older
Best Time:
Day
Evening
Anytime
Restaurant Location:
Restaurant #:
Country:
CANADA
QATAR
TURKEY
UNITED STATES
State / Province:
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
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GEORGIA
HAWAII
IDAHO
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MAINE
MARYLAND
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TENNESSEE
TEXAS
UTAH
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
City:
Address:
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Date of Visit:
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Was Your Visit With:
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(select at least one)
Arby's
T. J. Cinnamons
Feedback Concerning:
Dine-In
Carry-Out
Drive-Thru
During:
Breakfast (5-10 AM)
Lunch (10-2 PM)
Snack (2-5 PM)
Dinner (5-8 PM)
Night (8-Close)
Feedback Concern:
Check all that apply and supply additional comments below.
Service:
Speed of Service
Accuracy of Order
Courtesy/Friendliness
Personnel:
Employee
Manager
Quality:
Temperature of Food
Taste/Texture of Food
Portion Size of Food
Price of Food
Appearance of Food
Improper Handling of Food
Cleanliness:
Restrooms
Dining Area
Beverage/Condiment Area
Outside of Restaurant
Miscellaneous:
Menu Board or Speaker
Menu Choices
Grooming of Employees
Napkins/Condiments
Coupons
Other
Payment Type:
Credit Card / Debit Card
Gift Card
Cash
Additional Comments:
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