Feedback Form
We would appreciate you taking the time to complete the following feedback form.
Please circle selections.

Name	:
Contact phone number	:
Age bracket	:	Please choose age bracket 0 – 18 19 – 30 31 – 50 +51
How did you hear about us ?	:	Please choose an answer Facebook Website Referral Magazine Newspaper
How often do you order Buffalo Burger ?	:
Which branch ?	:
What time ?	:

Food

Portion size	:	Too small	Too large	Just right
Flavor	:	Needs improvement	Average	Good	Excellent
Presentation	:	Needs improvement	Average	Good	Excellent
Value for money	:	Needs improvement	Average	Good	Excellent
Variety	:	Needs improvement	Average	Good	Excellent
Freshness	:	Needs improvement	Average	Good	Excellent

Service

Friendly	:	Needs improvement	Average	Good	Excellent
Professional	:	Needs improvement	Average	Good	Excellent
Explanation of menu	:	Needs improvement	Average	Good	Excellent
Delivery time	:	Needs improvement	Average	Good	Excellent

Are there any other items you would like to see on our menu? If so, please elaborate



Other comments/suggestions:

Thank you for taking the time to fill out this form!