Date of Your Visit *

MM

DD

YYYY

Will you recommend this restaurant to others?

Yes

No

Have you dined at an Avenir Restaurant Group establishment before this visit?

Yes

No

Host Greeting -

Poor

Average

Good

Excellent

Outstanding

Food Quality / Appeal -

Poor

Average

Good

Excellent

Outstanding

Server Experience -

Poor

Average

Good

Excellent

Outstanding

Ambiance / Environment -

Poor

Average

Good

Excellent

Outstanding

Beverages -

Poor

Average

Good

Excellent

Outstanding

Price / Value -

Poor

Average

Good

Excellent

Outstanding

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Form of Communication *

Email

Phone Call

Date of Your Visit *

MM

DD

YYYY

Will you recommend this restaurant to others?

Yes

No

Have you dined at an Avenir Restaurant Group establishment before this visit?

Yes

No

Host Greeting -

Poor

Average

Good

Excellent

Outstanding

Food Quality / Appeal -

Poor

Average

Good

Excellent

Outstanding

Server Experience -

Poor

Average

Good

Excellent

Outstanding

Ambiance / Environment -

Poor

Average

Good

Excellent

Outstanding

Beverages -

Poor

Average

Good

Excellent

Outstanding

Price / Value -

Poor

Average

Good

Excellent

Outstanding

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Form of Communication *

Email

Phone Call

Date of Your Visist *

MM

DD

YYYY

Will you recommend this restaurant to others?

Yes

No

Have you dined at an Avenir Restaurant Group establishment before this visit?

Yes

No

Host Greeting -

Poor

Average

Good

Excellent

Outstanding

Food Quality / Appeal -

Poor

Average

Good

Excellent

Outstanding

Server Experience -

Poor

Average

Good

Excellent

Outstanding

Ambiance / Environment -

Poor

Average

Good

Excellent

Outstanding

Beverages -

Poor

Average

Good

Excellent

Outstanding

Price / Value -

Poor

Average

Good

Excellent

Outstanding

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Form of Communication *

Email

Phone Call

Date of Your Visit *

MM

DD

YYYY

Will you recommend this restaurant to others?

Yes

No

Have you dined at an Avenir Restaurant Group establishment before this visit?

Yes

No

Host Greeting -

Poor

Average

Good

Excellent

Outstanding

Food Quality / Appeal -

Poor

Average

Good

Excellent

Outstanding

Server Experience -

Poor

Average

Good

Excellent

Outstanding

Ambiance / Environment -

Poor

Average

Good

Excellent

Outstanding

Beverages -

Poor

Average

Good

Excellent

Outstanding

Price / Value -

Poor

Average

Good

Excellent

Outstanding

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Form of Communication *

Email

Phone Call