Sushi Shop

• How often do you visit Sushi Shop?
  
  • More than 1 time a week
  • 1 time a week
  • 1 time a month
  • Rarely
  • First visit

Meals ordered

• • A la carte (specify)
  • To take out (specify)

At your visit, you ate

• • On site
  • Elsewhere (specify the time delay to consumption)

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

• Would you recommend this restaurant to a friend?
  
  
  • Yes
  • No
• 
  Other comments
  

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