Gladstone's Dining Survey

Which promotion? All-You-Can-Eat-Sushi Monday $29.95 Lobster Wednesday $29.95 Crabby Friday Live Entertainment Other

What type of corporate function? Attending a convention Local business Other

How old are you? Under 18 18-24 25-34 35-44 45-54 55 and over

What's your zip code?

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.

What brought you in? Lunch Crabby Hour Dinner Special event Promotion

We value your privacy and promise not to sell your responses.

Which event? Holiday party Corporate/company function Special occasion (birthday, anniversary, baptism, etc.) Wedding/wedding rehearsal Other

Who did you come with? Family Friends Colleagues By myself

Which location did you choose? Long Beach

On average, how often do you visit? First time ever Occasionally Monthly Weekly - I'm a regular

What keeps you coming back? Food Service Atmosphere

What was your server's name?

Was your server. . .

	N/A	No	Yes
courteous?
attentive?
knowledgeable about our menu?

How was the food's. . .

How likely are you to. . .

Did we meet your expectations? Yes No

Why not?

What should we have done differently? How can we exceed them next time?

Where?

Any comments, questions, or suggestions?

What did you love? What can we improve?

Why?

How did you hear about us? Passing by Word of mouth Newspaper or magazine Online Other

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.
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

We like to know who our customers are! We promise not to contact you without your permission.

Thanks for your feedback. Click send for free food!

	Terrible	Bad	OK	Good	Excellent
taste?
freshness?
timeliness?
variety?
value?

	Definitely not	Probably not	Maybe	Probably	Definitely
recommend Gladstone's to others?
return to Gladstone's within the next month?