This question is required.
When did you dine with us?
We owe you a big thank you for taking the time to let us know how we're doing. It's coming in the form of a free appetizer at the end of this survey.
How did you hear about us?
Passing by
Word of mouth
Newspaper or magazine
Online
Other
Thanks for your feedback. Click send for free food!
Send feedback
Please supply your contact information.
We'll send your reward certificate to the email address you supply here.
First name:
Last name:
E-mail address:
Would you like us to follow up with you?
No, thanks.
Yes, please email me.
Yes, please call me.
Phone number:
Would you like to sign up for our newsletter to receive more coupons in the future?
No, thanks.
Yes, but just from this restaurant
Yes, from any eateries I'll enjoy
Birthday:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
We like to know who our customers are! We promise not to contact you without your permission.
How was the food's. . .
Terrible
Bad
OK
Good
Great
taste?
variety?
value?
Why not?
What should we have done differently? How can we exceed them next time?
Why?
How likely are you to. . .
Definitely not
Probably not
Maybe
Probably
Definitely
recommend Barney's Beanery to others?
return to Barney's Beanery within the next month?
What keeps you coming back?
Food
Service
Atmosphere
What was your server's name?
On average, how often do you visit?
First time ever
Occasionally
Monthly
Weekly
All the time - I'm a regular
What did you order? What did you think of it?
Please elaborate on your previous response. What stood out to you?
Any comments, questions, or suggestions?
What did you love? What can we improve?
Did a manager visit your table?
Yes
No
Which event?
Sporting event
Birthday
Karaoke
Video game tournament
Other
Did we meet your expectations?
Yes
No
What brought you in?
Breakfast
Lunch
Happy Hour
Dinner
Special event/promotion
We value your privacy and promise not to sell your responses.
Where did you sit?
Patio
Bar counter
Bar tables
Dining room
Which location did you choose?
Burbank
Pasadena
Santa Monica
West Hollywood
Westwood
Who did you come with?
Family
Friends
Colleagues
Strangers
By myself
