Brookfields Survey Questions - Brookfields Restaurant

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?*

Using the following scale, please rate your level of satisfaction with your most recent visit to Brookfields Restaurant.*

	1	2	3	4	5	6	7	8	9	10
Your level of satisfaction
Professionalism (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?*
Please 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*
MM slash DD slash YYYY
What time did you visit?**
Which services did you use?**
How often do you dine with this restaurant?**
Lastly, please provide your contact information so that we can get in touch if you win.
Name*
First Last
Address*
Address City* State* Zip*
Phone
Email*
Sign up for special event invitations, discount offers, menu changes, and more!**
- Yes
- No
Would you allow us to use the content of this form for a promotional post?*
- Yes
- No

Brookfields Customer Satisfaction Survey

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