HOW ARE WE DOING?

We are committed to providing you with the best dining experience possible, so we welcome your comments. Please fill out this questionnaire and place it in the box in our lobby. Thank you!

Date: Server Name:

Please rate the quality of the service you received from your host. 1 2 3 4 5 Disappointing Exceptional

Please rate the quality of the service you received from your server. 1 2 3 4 5 Disappointing Exceptional

Was your server... Courteous? Yes No Informative? Yes No Prompt and efficient? Yes No

Please rate the quality of your entree. 1 2 3 4 5 Disappointing Exceptional

Please rate the quality of your beverage. 1 2 3 4 5 Disappointing Exceptional

Was our restaurant clean? 1 2 3 4 5 Disappointing Exceptional

Please rate your overall dining experience. 1 2 3 4 5 Disappointing Exceptional

How frequently do you visit our restaurant? 3-5 times per month 1-2 times per month Once every 2 months Other If 'Other', please specify:

Do you plan to return to our restaurant? Yes No

How many times did server(s) check on your table?

Would you recommend our restaurant to a friend? Why, or why not?

If your visit was to celebrate a special occasion, how might we have made it more memorable?

What dish did you order?

What dishes would you like added to our menu?

Please share any additional comments or suggestions.

*Optional Information: Guest Name(s): Phone Number:

3515 Camp Creek Parkway East Point, Georgia Phone (404)-349-2642 Fax (404)-349-2646 http://www.theultimatebarandgrill.com