Customer Feedback

1. TCRS Outlet:

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a. Date & Time of last visit:

Date: Please select a date. / Please select a month. / Please select a year.
Time: Please select time.

2. Food Selection:

Excellent

Good

Average

Poor

a. Taste/Quality

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b. Presentation

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c. Serving Size

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d. Price

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e. Value for Money

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f. Variety

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3. Service:

Excellent

Good

Average

Poor

a. Friendly & Courteous

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b. Attentive

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c. Able to explain Menu Clearly

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d. Appearance

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4. Ambience:

Excellent

Good

Average

Poor

a. Cleanliness

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b. In-Store Design & Comfort

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5. Frequency of Visit:

	More than once a week
	Once a week
	Once a month
	Once in 2-3 months
	Other

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6. How do you know about us?

	Radio and TV advertisements
	Press Write-ups/Leaflets
	Internet
	Friends/Relatives/Family
	Other

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7. Will you visit us again?

	Yes
	No

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8. Other Comments and Suggestions:

9. Contact info:


a. Name	Please enter your name.
b. Gender	Please select your gender.
c. Age	Please select your age group.
d. Occupation
e. Address
f. Birthdate	Please select a day. / Please select a month. / Please select a year.
g. Mobile	Please enter your mobile phone number.
h. Email	Please enter your email address.Invalid format.

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