Thank you for dining at Vita Nova. Your feedback will help us maintain and enhance our high standards. Please tell us how would you measure our performance.
1.
Have you been here before?
Yes
No
2.
If "Yes", how many times have you been here in the last six months?
Once
Twice
Three times
More than Three Times
3.
If "No", how did you first hear about us?
Word of Mouth
UD Daily
Other
Poor
Excellent
1
2
3
4
5
4.
How would you rate handling of your reservation?
5.
Was your reservation confirmed?
Yes
No
6.
Were you placed on a waiting list?
Yes
No
Please rate the following.
Poor
Excellent
7.
Menu Offering
8.
Quality of food
9.
Portion Size
10.
Presentation
11.
Quality of service
12..
Overall atmosphere/ambiance
13.
Comfort level
14.
Overall satisfaction with the dining experience.
15
What would you like to see
added to
or
removed
from our menu?
16.
Please provide the name of your server, if possible, and any other comments.
Definitely Would Not
Definitely Would
1
2
3
4
5
17
Would you return to Vita Nova soon?
18.
Would you recommend Vita Nova to others?
If you rate Q 18 at 3 or lower, please explain why?
19.
Your Salutation
Mr.
Mrs.
Ms.
Dr.
20.
Your First Name
21.
Your Last Name
22.
Check Number
23
What is your postal zip code?
24.
Email address(
used only for promotion
)
25.
Date of Visit (mm/dd/yyyy)
26.
You visited for...
Lunch
Dinner
Darden Bistro
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