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

 
Vita Nova