Dinner Questionnaire.

Name:

First Name

Last Name

Date of the Dinner:

MM

DD

YYYY

Overall Experience: *

The evening did not meet my expectations.

The evening met my expectations.

The evening exceeded my expectations.

Overall Value *

Poor value

Adequate value

Excellent value

Appetizer Course: Duck Foie Gras Mousse *

I would NOT order my selection again.

I would DEFINITELY order my selection again.

Soup Course: Vichyssoise *

I would NOT order my selection again.

I would DEFINITELY order my selection again.

Salad Course: Asian Calamari Salad *

I would NOT order my selection again.

I would DEFINITELY order my selection again.

Entrée Course: Wagyu Beef Tenderloin *

I would NOT order my selection again.

I would DEFINITELY order my selection again.

Dessert Course: Bal Bakery *

I would NOT order my selection again.

I would DEFINITELY order my selection again.

The service was... *

...slow.

...adequate.

...attentive but not overbearing.

The room temperature was... *

...too warm.

...too cold.

...perfect.

The quality of the cutlery, plates, and stemware was... *

...needs improvement

...adequate.

...excellent.

The quality of the house wine was....

..needs improvement.

...adequate.

...excellent.

The restrooms were... *

...unsatisfactory.

...satisfactory.

The volume of the music was... *

...too loud.

...too soft.

...just right.

My special requests were... *

...ignored.

...fulfilled.

I didn't make special requests.

The Table Setting *

Check all that apply.

Items were missing (i.e. cutlery, stemware, napkin).

The table needed more candles.

Silver items needed more polishing.

Stemware had spots, streaks, or fingerprints.

One or more napkins had a stain.

There were no salt or pepper on the table.

I would have liked bread and butter to have been served.

The floral arrangements, if any, did not meet my expectations.

The table cloth, if any, did not meet my expectations.

The table setting was perfect.