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Gourmet Pizza Shoppe Survey
Your Name
Your Email Address
Date and time of visit
Name of Server
Which location did you dine at
Redlands
Yucaipa
How did you order
Dine In
To Go
Phone order
Friendliness of server 1 low 5 high
1
2
3
4
5
Knowledge of server 1 low 5 high
1
2
3
4
5
Quality of food 1 low 5 high
1
2
3
4
5
Portion Size 1 low 5 high
1
2
3
4
5
Cleanliness of shoppe 1 low 5 high
1
2
3
4
5
Comments or concerns
free forms
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