Brookfields Customer Satisfaction Survey We’re committed to providing you with a memorable experience every time you visit. Loved your dinner? Have feedback for us? Fill out the survey below. As a thank you, you’ll be entered to win a $100 gift card! Which location did you visit?*Which location did you visit?*Sacramento - Madison AvenueRoseville - Taylor RoadRancho Cordova - Folsom BoulevardUsing the following scale, please rate your level of satisfaction with your most recent visit to Brookfields Restaurant.*12345678910Your level of satisfactionProfessionalism (Employees were knowledgeable, efficient, and friendly)*Selection (Menu selection met expectations)*Quality (Overall standard of excellence)*Convenience (Location, hours, and parking met expectations)*Value (Quality received for price paid)*Timeliness (Time you spent met expectations)*Integrity (Treated with honesty and care)*Overall Experience (Your overall rating of this business)*How likely is it that you would recommend this restaurant to a friend?*How likely is it that you would recommend this restaurant to a friend?*1 - Not Likely2345678910 - Very LikelyPlease tell us about your experience and anything we could have done to better serve you.*Is there someone on the staff you'd like to compliment? They'd appreciate the positive feedback from you!Who was your server? The server’s name is on your guest receipt.Date of visit* What time did you visit?**What time did you visit?*6:00 am7:00 am8:00 am9:00 am10:00 am11:00 am12:00 pm1:00 pm2:00 pm3:00 pm4:00 pm5:00 pm6:00 pm7:00 pm8:00 pm9:00 pm10:00 pm11:00 pmWhich services did you use?**Which services did you use?*RestaurantTake outHow often do you dine with this restaurant?**How often do you dine with this restaurant?*Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthLastly, please provide your contact information so that we can get in touch if you win.Name* First Last Address* Address City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State* Zip* PhoneEmail* Sign up for special event invitations, discount offers, menu changes, and more!**YesNo This iframe contains the logic required to handle Ajax powered Gravity Forms.
