Restaurant Customer Feedback Form
Thank you for choosing us for your dining experience!
Your feedback is essential to our success. Please take 3-5 minutes to share your thoughts. This helps us improve our service and create better experiences for all guests.
1. Visit Details
Date of Visit: ___________________
Time of Visit: ___________________
Party Size: ___________
Occasion: ☐ Casual Dining ☐ Business Meeting ☐ Celebration ☐ Date Night ☐ Family Gathering ☐ Other: _________
Service Type: ☐ Dine-In ☐ Takeaway ☐ Delivery ☐ Curbside Pickup
Server/Staff Member Name (if known): ____________________
Table Number/Location: ____________________
2. Food & Beverage Rating
Rate each item from 1 (Poor) to 5 (Excellent):
Category | 1 | 2 | 3 | 4 | 5 | N/A |
Taste & Flavor | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Food Temperature | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Food Presentation | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Portion Size | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Food Freshness | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Beverage Quality | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Menu Variety | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Value for Money | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
What did you order? Appetizers: _________________________________
Main Courses: _______________________________
Beverages: _________________________________
Desserts: __________________________________
Any dietary restrictions we handled? ☐ Yes ☐ No ☐ N/A If yes, how well did we meet your needs? ________________
Comments about food or drinks:
3. Service Experience
Rate each item from 1 (Poor) to 5 (Excellent):
Category | 1 | 2 | 3 | 4 | 5 | N/A |
Staff Friendliness | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Menu Knowledge | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Service Speed | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Staff Attentiveness | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Order Accuracy | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Problem Resolution | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Greeting & Seating | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Payment Process | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Wait time for: Seating: ________
minutes Food service: ________
minutes Bill/Check: ________ minutes
Comments about service:
4. Restaurant Environment
Rate each item from 1 (Poor) to 5 (Excellent):
Category | 1 | 2 | 3 | 4 | 5 | N/A |
Dining Area Cleanliness | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Table Setup & Comfort | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Restroom Cleanliness | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Noise Level | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Lighting | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Temperature Comfort | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Overall Atmosphere | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Parking Availability | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Any cleanliness or atmosphere concerns?
5. Overall Experience Summary
Rate your overall experience: ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Question | Yes | No | Maybe |
Did you enjoy your visit? | ☐ | ☐ | ☐ |
Will you return? | ☐ | ☐ | ☐ |
Would you recommend us to others? | ☐ | ☐ | ☐ |
Did we meet your expectations? | ☐ | ☐ | ☐ |
What was the best part of your experience?
What should we improve most?
How did you hear about us? ☐ Social Media ☐ Google Search ☐ Friend/Family ☐ Advertisement ☐ Walk-by ☐ Other: __________
6. Additional Feedback & Suggestions
Any other comments or ideas?
Special recognition: Is there a team member who deserves special praise?
7. Stay in Touch (Optional)
We'd love to keep you updated on special offers and new menu items.
Name: _____________________________________
Email: ____________________________________
Phone: ___________________________________
Preferred contact method: ☐ Email ☐ Text ☐ Phone Call
Communication preferences: ☐ Special offers and promotions ☐ New menu updates ☐ Event invitations ☐ Please contact me about my feedback
Birthday Month (for special offers): ___________
Thank You!
Your feedback helps us serve you better. We read every comment and use your suggestions to improve our restaurant.
Follow us online: Website: [Your Website] Social Media: [Your Social Handles]
Management Team [Restaurant Name]
This form is confidential and used solely for improving our service quality. We respect your privacy and will never share your information with third parties.