Goldie's Patio Grill

In order to give you the "Best DILL in Town", we value your comments and suggestions. You can help us maintain the finest quality and service

by answering the following:

Date of your last visit:	Time:
Store Location:	Your Name:
Address:	Phone:
Email:
	YES	NO
Was this your first visit?
Were you greeted by a host(ess)?
Did your server introduce himself/herself?
Was the service prompt?
Was the dining area clean?
Were the restrooms clean and supplied?
Did you see a manager?

Please Rate the Following:

	Excellent	Fair	Needs Improvement
Service
Cleanliness
Friendliness
Portions
Taste
Value
Speed of Service
Accuracy of Order
Atmosphere
Overall Experience

How did you learn about Goldie's?
Would you recommend us to a friend?
Any additional comments or suggestions?