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QAC Restaurant Survey
Answer brief questions to help us identify restaurants who are taking action to reduce plastic
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* Indicates required question
Email
*
Your email
Name of Restaurant
*
Your answer
Date of Visit
MM
/
DD
/
YYYY
Did waitstaff automatically put a straw in your beverage?
*
Yes
No
If you answered no above, what type of straw was provided.
Your answer
Did the waitstaff ask if you wanted a straw with your beverage?
Yes
No
Clear selection
Was a recyclable or compostable box used for your leftovers?
*
Yes
No
Were your leftovers automatically placed in a plastic bag?
*
Yes
No
If you answered no above, what type of bag was used?
Your answer
The last time you ordered takeout food, were condiments and utensils included without request?
Your answer
Are there are any restaurants in the area that you have noticed are trying to use less plastic?
Your answer
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