Customer Comment Form
What date was your visit?
What time was your visit?
Which location did you visit?
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Buckhannon
Fairmont
Ashland
Elkins
How many people were in your party?
Did you have reservations?
Yes
No
What was your server's name and/or description?
If you have your receipt, please provide your check number:
Getting to Know you!!
First Name:
Last Name:
Company:
Address:
City:
State:
Zipcode:
Phone:
Email:
How was your experience?
How would you rate the food you ordered?
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Excellent
Very Good
Good
Fair
Poor
How would you rate the service you recieved?
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Excellent
Very Good
Good
Fair
Poor
How would you rate the overall cleanliness?
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Excellent
Very Good
Good
Fair
Poor
Were you greeted in a timely manner?
Yes
No
How was the appearance of our staff?
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Excellent
Very Good
Good
Fair
Poor
How would rate you overall experience?
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Excellent
Very Good
Good
Fair
Poor
What are your favorite menu item(s)?
Questions, Comments, Concerns
Would you like us to contact you?
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No
Verification:
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