Customer Satisfaction Survey
Name: *
Email Address : *
Phone Number: *
Date Of Visit: *
Time Of Visit: *
Dine In Or Take Out? *
Age: *
Rate the food quality:
Clear selection
Rate the service by our staff: *
Rate the cleanliness of our business: *
Rate the order accuracy of your visit: *
Rate the speed of service: *
Rate the overall value of your visit: *
Rate your overall experience: *
Do you consent to receive emails and/or text messages regarding specials and events we have at the Purgatory? *
Any additional comments, compliments, or concerns?
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