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* 2. What was the date of your visit?

Date

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* 3. Please choose: Dine-in, Takeout, Delivery, Catering :

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* 4. For each of the following, please rate your experience 1 through 5:

  (1) Highly Dissatisfied (2) Dissatisfied (3) Neither Satisfied nor Dissatisfied (4) Satisfied (5) Highly Satisfied
Overall, how satisfied were you with your experience?
How satisfied were you with your food quality?
How satisfied were you with our menu selections?
How satisfied were you with the accuracy of your order?
How satisfied were you with the pace of your experience?
How satisfied were you with the attentiveness of your server?
Overall, how satisfied were you with the value you received?

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* 5. Would you recommend this Cotton Patch Cafe location to a friend or family member?

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* 6. Please share anything else about your experience that you would like us to know:

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* 7. Please enter your name and contact information

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