Thank you for dining at The Zodiac Grill. Your feedback will help us maintain and enhance our high standards. Please tell us how would you measure our performance. By completing this survey, you will participate in our monthly complimentary draw for a 3-course dinner for two.
1. Have you been to The Zodiac Grill before?  

Yes No

2. If "Yes", how many times have you been here in the last 3 months?
 
  Once Twice Three times More than Three Times
3. How did you first hear about us?        
 
  Friend Family Newsletter Newspaper
Other Please Specify
   
Poor
Fair
Excellent
   

1

2
3
4
5
   
Poor
Excellent
4. Menu offering

5. Quality of food

6. Portion

7. Presentation

8. Quality of service

9.. Overall atmosphere/ambiance

10. Comfort level

11. Overall satisfaction with the Zodiac experience.
12. What suggestions would you make to improve our menu?
 
   
Definitely No
May Be
Definitely Yes
   
1
2
3
4
5
13 Would you return to The Zodiac Grill soon?
14. Would you recommend The Zodiac Grill to family and friends?
15. Your Salutation  
Mr. Mrs. Ms.   Dr.
16. Your First Name*  
17. Your Last Name*  
18 What is your postal zip code?*  
19. Email Address*  
20. Date of Visit (mm/dd/yyyy)*  
21. You visited us for...  
Lunch Dinner Zodiac Lounge
 

* Required for verification and for you to participate in our monthly drawing for a complimentary 3-course dinner for two.