Apple Barrel Pub

Customer Satisfaction SurveY

At Apple Barrel Pub we wish to provide customers with a comprehensive range of prompt and efficient services.

Please take 5 minutes to complete our customer satisfaction survey and help us maintain
our reputation as one of the best restaurants in the area.

Please tell us about your visit to Apple Barrel Pub

1.	How often, on average, do you visit this restaurant?

	(e.g. of a single response drop-down)

2.	How many people were in your party today?
		Adults
		Children
		TOTAL
	(e.g. of an open ended numeric response with auto total)

Which of the following items have your ordered?
(Select from 1 to 4 items)

Salad

Coffee/tea

Pizza

Hamburger

Soft drink

Ice cream

French fries

Other items

(e.g. of a multiple response question - the list of replies randomized with a min of 1 and a max of 4 answers)

	What other item did you order?

	(e.g. only asked if "Other Items" selected in Q4)

4.	How much did you spend in total on Q3?
	$
	(e.g. of Text Substitution - answers from Q3 placed in Q4 text)

Which item(s) would you order again?

Salad

Pizza

Soft drink

French fries

Coffee/tea

Hamburger

Ice cream

Q3.a

None of the above

(e.g. of Masking - only options selected in Q3 will appear in Q5)
(e.g. of Exclusive Response - "None of the above" will uncheck any other options selected)

How would you rate your last visit to the Apple Barrel Pub?

SATISFACTION

6.	Please rate how satisfied or dissatisfied you are with each of the following. 1 = Totally Dissatisfied to 5 = Totally Satisfied
6.		1	2	3	4	5
	Speed of service
	Cleanliness
	Parking
	Quality of food
	Choice of food
	(e.g. of a side-by-side Grid Question)

IMPORTANCE

7.	Now please indicate how important or unimportant these aspects are to you. 1 = Not important to 5 = Extremely Important
7.		1	2	3	4	5
	Speed of service
	Cleanliness
	Parking
	Quality of food
	Choice of food

8.	Please rank the following in order of importance from 1 = least important to 5 = most important.
		Speed of Service
		Cleanliness
		Parking
		Quality of food
		Choice of food
	(e.g. of ranking - each ranking option (1 to 5) may only be chosen once)

9.	How do you rate the overall performance of this restaurant? (Use a score of 10 for excellent and 1 for poor)

10.

Will you answer some personal questions?

Yes

(e.g. of routing based on Yes/No answer - go to Q13 if "No")

Tell us about yourself

12.

Are you male or female?

Male

Female

13.	Please confirm your Email Address (in order to receive our monthly newsletter)

	(e.g. of Open Ended literal question with Source Pattern Edit for a valid E-mail Address)

14.	Are there any other comments that you would like to make?

Thank you for completing our survey. We look forward to your next visit to Apple Barrel Pub.

Please click the SUBMIT button below to ensure we receive your response.