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Contact Information

Name:

Phone:

Email:

Which Fresh City location did you visit?

Was this your first visit to Fresh City?

Yes No

Did you stop by today for (check all that apply):

Breakfast
Lunch
Dinner
Takeout

Date Visited:

Time visited:

 

Do you (check all that apply):

Live within 1 mile of Fresh City?
Work within 1 mile of Fresh City?
Live elsewhere, where:

Please rate us on the following:

Poor Fair Good Great  
Speed of service
Friendliness of staff
Menu selection
Food quality
Flavor
Music selection
Portions
Cleanliness
Healthiness

How did you first discover Fresh City?

Just strolling by/driving by.
Article of review in: 
Newspaper ad
Received information in mail
Personal recommendation
Friend brought me in
Other: 

Favorite Fresh City foods:

Cookin' Wraps
Salad Wraps
Smoothies
Salad Bar
Asian Noodles
Fresh City Coffee
Other: 

Will you come back again?

Definitely
Maybe
Probably not
Definitely not

Additional comments:

 


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