58 Main - Brockport, New York

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NOTICE: Once a month, we will randomly select a patron that has completed this survey on-line or in person at the restaurant. The winner will receive a complimentary $20 Gift Certificate. (Limited to one win per patron.)

Congratulations to the July 2007 winner: Chris Glogowski!

Thank you for your business and participation!

Jon, Marc & Staff

NOTE: You must complete the entire survey(ALL FIELDS REQUIRED) to qualify for the complimentary gift certificate drawings.

Name:
Email:

Phone:

Please use the following scale to answer the questions:

1-Very Satisfied	4-Disappointed
2-Satisfied	5-Very Disappointed
3-Neutral/Not Applicable

How was the food quality?	1 2 3 4 5
How was the service?	1 2 3 4 5
How was the atmosphere?	1 2 3 4 5
How was the menu pricing?	1 2 3 4 5
How were the menu selections?	1 2 3 4 5
How were the portion sizes?	1 2 3 4 5
How was the timeliness of your meal?	1 2 3 4 5
How was the staff appearance & treatment?	1 2 3 4 5
How was the Entertainment?	1 2 3 4 5
How was your overall visit?	1 2 3 4 5
Will you be back?	Yes: No:

Additional suggestions, questions or comments that you think might
help us serve you better.

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