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Norms Restaurants
*
1.
First Name
(Required.)
*
2.
Email (so we can respond, keep you informed, etc.)
(Required.)
3.
Phone (optional)
4.
Date and Time of Visit
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
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09
10
11
12
13
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22
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31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
5.
Who was your Server?
6.
How would you rate your overall experience?
Excellent
Good
Fair
Poor
7.
What was the best or worst part of your experience?
8.
Feedback or Comments?
9.
How would you rate the food and service for the price that was paid?
10.
Could we have done anything to improve your dining experience?
11.
Besides Norms what are your two other favorite restaurants?
12.
Have you dined with us before?
Yes
No
13.
Will you return again?
Yes
Maybe
No
14.
Would you recommend us to your friends?
Yes
Maybe
No
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