Contact Buffalo's Cafe®

Name

Gender

Age Range

Phone Number

E-Mail Address

Server's Name

Preferred Method of Contact

Phone Email

Which location did you visit?

How did you experience Buffalo's?

Time of Visit

Date of Visit

How satisfied were you with the quality of your food?

WOW!
Satisfied
Dissatisfied

If the food did not WOW you, where can we improve? (Check all that apply)

Accuracy
Taste/Flavor
Appearance/Presentation
Temperature

How was the level of service you experienced?

WOW!
Satisfied
Dissatisfied

If the service did not WOW you, where can we improve? (Check all that apply)

Speed
Personality/Friendliness
Appearance
Knowledge

How was the level of cleanliness in the restaurant?

WOW!
Satisfied
Dissatisfied

If the cleanliness did not WOW you, where can we improve? (Check all that apply)

Dining Room
Restrooms
Bar
Host/Foyer Area
Outside (patio, parking lot)

Management Availability

Present and helpful
Present, not helpful
Not Present
I did not require the assistance of a manager

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Position of interest*	Server Host Bartender Cook Dishwasher Expo
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