ASSESSMENT CARD

Main
  • Date of your last visit
  • Time of your last visit
  • Location visited

Visit Frequency
  • How often do you visit Sushi Shop?


Meat Choices

Meals ordered


Consumption Location

At your visit, you ate


Average Expense
  • How much do you spend on average per visit at Sushi Shop?

Please tell us your assessment:

  • 1 = Very satisfied
  • 2 = Satisfied
  • 3 = Fairly satisfied
  • 4 = Unsatisfied
  • 5 = Very unsatisfied
 
Reception
 
  •  
    • 1
    • 2
    • 3
    • 4
    • 5
 
  • Employee's welcome
 
Service
  • Courteous employee
  • Efficiency
  • Order accuracy
Menu
  • Presentation
  • Taste
  • Freshness (temperature)
Ambience
  • Music
  • Lighting
  • Setting
Cleanliness
  • Outside
  • Inside
Global Appreciation
  • Quality / price ratio
  • In general, I am...

Other
  • Would you recommend this restaurant to a friend?


  • Other comments

Contact Information
  • Name
  • Address
  • City, province
  • Postal Code
  • Telephone
  • Email

 

 

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