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Your Name:
E-mail:
Address:
Telephone:
Which date did you visit Opus?
How many guests were in your party?
Who was your server?
How did you hear about Opus?
Was this your first visit to our restaurant?
Yes
No
If not, when was your last visit?
For the following questions 1 is poor and 5 is outstanding.
· Overall, how did you enjoy your evening?
1
2
3
4
5
· Please rate your food
1
2
3
4
5
· How was the wine list?
1
2
3
4
5
· How was your server?
1
2
3
4
5
· How was the rest of the service staff?
1
2
3
4
5
Do you plan to join us in the future?
Yes
No
How could we have improved your experience?
Are you interested in receiving e-mail or other correspondence from Opus to inform you of upcoming events? (Wine dinners, wine tastings, special events and menu changes)
Yes
No