Customer Satisfaction Survey

Name

Email Address

City you live in

Please tell us the date you last visited us

Please tell us your age as of today's date Please tell us your age as of today's date Under 18 18-24 25-34 35-44 45-54 55 and older

Overall satisfaction on this visit to Pantano's Overall satisfaction on this visit to Pantano's Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

The speed of service The speed of service Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

The quality of your food The quality of your food Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

The cleanliness of the restaurant The cleanliness of the restaurant Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

The friendliness of your server or order taker The friendliness of your server or order taker Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

Was your order accurate? Was your order accurate? Yes No

How likely are you to recommend Pantano’s to others? How likely are you to recommend Pantano’s to others? Definitely Probably Maybe Never

Did you experience any problems with you visit? Did you experience any problems with you visit? Yes No

How satisfied did your health and well being feel was protected your during your visit? How satisfied did your health and well being feel was protected your during your visit? Highly Satisfied Satisfied Neither Satisfied or dissatisfied Dissatified Highly Dissatisfied

Comments on your last visit. How can we make things better for you?