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Capitol Grille Survey

Page One

CAPITOL GRILLE FEEDBACK FORM

1. Personal Information

First Name *This question is required.

Last Name *This question is required.

Phone Number

Email *This question is required.

Address / City / State / ZIP Code

What date did you visit the Capitol Grille? This question requires a valid date format of MM/DD/YYYY.

calendar

How did you hear about us: *This question is required.

Hotel Website
Reservation Agent Please enter an 'other' value for this selection.
Concierge Please enter an 'other' value for this selection.

Internet, where: Please enter an 'other' value for this selection.
Advertisement Please enter an 'other' value for this selection.
Other Please enter an 'other' value for this selection.

We are grateful for comments about those employees who have enhanced your dining experience:

We would appreciate any suggestions you might have as we continue to make improvements to the Capitol Grill:

Ratings

Capitol Grille & Oak Bar

Space Cell	Exceeded Expectations	Met Expectations	Improvement Needed	N/A
Greeting
Quality of Food
Quality of Service
Value for Price

Comments:

Would you dine with us again?

Do you feel you received a good value?

May we please share your comments anonymously with visitors to our website?

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