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* 1. First Name

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* 2. Email (so we can respond, keep you informed, etc.)

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* 3. Phone (optional)

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* 4. Date and Time of Visit

Date
Time

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* 5. Who was your Server?

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* 6. How would you rate your overall experience?

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* 7. What was the best or worst part of your experience?

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* 8. Feedback or Comments?

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* 9. How would you rate the food and service for the price that was paid?

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* 10. Could we have done anything to improve your dining experience?

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* 11. Besides Norms what are your two other favorite restaurants?

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* 12. Have you dined with us before?

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* 13. Will you return again?

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* 14. Would you recommend us to your friends?

We take your privacy very seriously. We will never sell or give your information to third parties.

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