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Select Restaurant*

Visit Type*

Date*

Please fill your personal information

Full Name*

Phone*

Email*

Gender*

Date Of Birth*

Do you have an ATICO Jewels Platinum Credit Card?*

YesNo

If yes, please enter your card below

ATICO Jewels Platinum Credit Card

Would you like to apply for the ATICO Jewels Platinum Credit Card ?

YesNoI Have It

Were you granted the proper Jewels?

YesNoN/A

Please write how we can improve the ATICO Jewels Platinum Credit Card:

Please answer the questions by either ticking the check box (es) or making a brief comment. If you do not have an opinion regarding a specific question kindly choose the Not Applicable (N/A) field. all questions must be answered in order to submit the form.

Scale: 5 = highest satisfaction level
and 1 = lowest satisfaction level

Did you place your order by phone?

YesNoN/A

Was telephone answered within 3 rings?

YesNoN/A

How satisfied were you with your order being taken?

Welcoming and introduced themselves clearly

12345N/A

Knowledgeable, helpful and polite

12345N/A

Advised you about specials and offers

12345N/A

Keen to repeat your order

12345N/A

Clear about how long your order would take

12345N/A

How satisfied were you with?

Staff knowledge

12345N/A

Treat me with respect

12345N/A

Billing process accuracy & time

12345N/A

Value for money

12345N/A

How satisfied were you with your order?

Food presentation

12345N/A

Food temperature

12345N/A

Quality of food

12345N/A

How likely are you to...

Use this service again?

12345N/A

Recommend this service?

12345N/A

How do you rate?

Your OVERALL satisfaction with this service

12345N/A

Recommend this outlet to a friend or colleague

Was your comment...

ComplimentProblemSuggestionN/A

Please feel free to mention staff members who particularly affected your experience:

Which of the following best describes the reason you chose to visit us?

Which of the following best describes the reason for your order(s)?