Please help me evaluate how well we took care of your needs by rating each of the following categories by answering each question. 1=poor to 5=excellent * Required Fields Lunch: Dinner: * Date of visit: 1. How did you hear about us? Friend Radio News Paper On-Line Other 2. Was this your first visit? Yes No 3. Was the person who took your order    Friendly? 1-poor 2 3 4 5-excellent    Knowledgeable? 1-poor 2 3 4 5-excellent    Helpful? 1-poor 2 3 4 5-excellent 4. Were you satisfied with the cleanliness of the dining area? 1-poor 2 3 4 5-excellent    Restrooms? 1-poor 2 3 4 5-excellent 5. Was your food prepared the way you asked for it? 1-poor 2 3 4 5-excellent 6. Your meal consisted of?     7. What do you like, or not like, wnat more of, and/or could do without?     Name and Address (optional): Name: Address: City: State: ZipCode: Email Address:   Thank you for choosing Panzon's I hope that your time with us was pleasant. It is important to me that you receive the best service and quality food that we can offer. Sincerely Chuck Mahowald Panzon's Designed by PlainTalk Media