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customer feedback
What was your dining experience?
*
Dine-In
Pickup
Catering
Date of Experience?
*
Name of Server/Bartender:
How many guests were in your party?:
*
Please select...
1
2
3
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5
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9
10
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20
21+
Were you greeted immediately upon entering the restaurant?
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Yes
No
Was the staff friendly and helpful?
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Yes
No
Did the manager visit your table?
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Yes
No
How was the quality of food?
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Excellent
Good
Average
Fair
Poor
Was your order accurately prepared?
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Yes
No
How was the overall cleanliness, atmosphere and staff appearance?
*
Excellent
Good
Average
Fair
Poor
Will you return to Churchill's?
*
Yes
No
Will you recommend Churchill's to your friends and family?
*
Yes
No
Have any additional comments?
First Name
*
Last Name:
*
Email Address:
*
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Weekly Kitchen Specials:
Monday - Sunday
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