Thank you for dining at Indique Heights. Your feedback will help us maintain and
enhance our high standards. Please tell us how you would measure our performance.
1.
Have been here 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?
Word of Mouth
Radio
Newspaper
Other
Please Specify
Poor
Fair
Excellent
1
2
3
4
5
4.
How was the handling of reservations?
5.
Was your reservation confirmed?
Yes
No
6.
Were you placed on a waiting list?
Yes
No
Please rate the following:
Poor
Fair
Excellent
1
2
3
4
5
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 No
May Be
Definitely Yes
1
2
3
4
5
17.
Would you return to Indique Heights soon?
18.
Would you recommend Indique Heights to others?
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
E-mail Address *
25
Date of Visit (mm/dd/yyyy) *
26
Your birthday (mm/dd)
27
Your anniversary (mm/dd)
28
You visisted us for....
Lunch
Dinner
Bar Services
29
What was the occasion?
Personal
Official
Both
* Required for verification and for you to participate in our monthly "lucky draw" and our Newsletter.
Thank You