Comment Card

online comment card

* First Name

* Last Name

* eMail Address

* Street Address

* Postal Code

* Location visited:

* Phone Number

* Was this your first visit to Shoeless Joe's?

Yes

If no, how often do you visit us?

Daily

Weekly

Monthly

Other

Was there a specific promotion or special that brought you to us?

Yes

If so, what was it?

Were you greeted in a friendly manner?

yes

Please elaborate:

Please rate the cleanliness of the location:

Poor

Average

Decent

Very Good

Outstanding

Please elaborate:

What was your perceived value of Shoeless Joe's:

Poor

Average

Decent

Very Good

Outstanding

Please elaborate:

How do you rate the overall atmosphere?

poor

average

decent

very good

outstanding

Please Elaborate:

Server's Name

Date and time of visit: