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Submitted on Jun 19, 2026 at 7:29 PM

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First Name^*

Last Name^*

Comany

Address

Street address

Apartment, suite, etc.

Email^*

Phone Number^*

Select a Location

Rochester - Mt. Hope

Henrietta

Victor

Date Visited^*

Were you greeted promptly?^*

Yes

Who was your server or bartender today?

How would you rate the level of service today? (10 being the best)^*

How would you rate the level of cleanliness of the store?

Overall, how satisfied were you with the quality of your meal today?

What did you eat or drink today?

Did a manager visit you today?

Yes

Guest Check Number

If you have a copy of your Guest Check, please provide us with Guest Check Number.

What can we improve upon?

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