Comment Card

Date of Visit Server's Name Number of guests in your party

Have you dined with us previously? Yes No

How often in the past year?

Are you likely to dine with us again within the next 90 days? Yes No Possibly

May we correspond with you directly? Yes No

Name Address City State Zip Email Phone

Comments

How did you learn about us?

Newspaper Guide Book/ Magazine Internet Newsletter Another Restaurant Concierge/Hotel Radio/TV Airline Magazine Friend

Which meal did you have with us? Lunch Dinner Other

How well did we serve you?

Greeting Desk Experience Better than you expected Met your expectations Did not meet expectations

Service Experience Better than you expected Met your expectations Did not meet expectations

How was your dining experience?

Menu Selection Better than you expected Met your expectations Did not meet expectations

Quality of Beverage Better than you expected Met your expectations Did not meet expectations

In general how did you feel about our restaurant?

Overall Impression Better than you expected Met your expectations Did not meet expectations

Ambiance Better than you expected Met your expectations Did not meet expectations

Desire to Visit Again Better than you expected Met your expectations Did not meet expectations

Company

5th Street Steak House 345 West Fifth Street - Chico, CA

RESERVATIONS (530) 891-6328