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Valerios Survey Form
Kris Totten
2025-05-07T19:50:05+00:00
WE VALUE YOUR OPINION!
Please take time to fill in this short Questionnaire
Name
(Required)
Restaurant or Take Away?
(Required)
Restaurant
Take Away
Your Email
(Required)
Date of Visit
(Required)
DD slash MM slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Speed of Service
(Required)
Please Select
Excellent
Good
Average
Poor
Very poor
Courtesy and/or Helpfulness of Staff
(Required)
Please Select
Excellent
Good
Average
Poor
Very poor
Quality of Food
(Required)
Please Select
Excellent
Good
Average
Poor
Very poor
Standard of Facilities
(Required)
Please Select
Excellent
Good
Average
Poor
Very poor
We welcome honest feedback. Please feel free to offer any other comments/suggestions below:
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