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Customer Feedback Form – Kedah
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* Indicates required question
Outlet / Restoran
*
Choose
Legenda Village Mall, Sg Petani
LandMark Central
Aman Central Mall
Customer Name / Nama Pelanggan
*
Your answer
Gender / Jantina
*
Male
Female
Age Group / Kategori Umur
*
<=24
25-44
45-64
>=65
Birthday / Ulangtahun Kelahiran
MM
/
DD
/
YYYY
Phone number / Nombor Telefon
*
Your answer
Email / Emel
*
Your answer
Date Visit / Tarikh Lawatan
*
MM
/
DD
/
YYYY
Time Visit / Masa Lawatan
*
Time
:
AM
PM
Served By / Nama Pramusaji
Your answer
Receipt Number / Nombor Resit
*
Your answer
Taste and quality of food / Rasa dan kualiti makanan
*
Poor
1
2
3
4
5
Excellent
Service / Perkhidmatan
*
Poor
1
2
3
4
5
Excellent
Ambience / Suasana Restoran
*
Poor
1
2
3
4
5
Excellent
Price / Harga
*
Poor
1
2
3
4
5
Excellent
Comments / Cadangan
Your answer
Will you visit us again? / Adakah anda akan mengunjungi kami lagi?
*
Yes
No
*
I agree to receive personalised offers from The Chicken Rice Shop. By Opting in I agree with the PDPA Policy. To view the full PDPA policy, please go to:
http://www.thechickenriceshop.com/pdf/Privacy_Policy.pdf
. Saya Bersetuju untuk mendapatkan maklumat promosi terkini dari The Chicken Rice Shop. Dengan pilihan ini, saya bersetuju dengan polisi PDPA. Untuk melihat polisi PDPA dengan lebih lanjut, sila ke:
http://www.thechickenriceshop.com/pdf/Privacy_Policy.pdf
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