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At Pantera's Pizza our number one priority is guest satisfaction. Please help us maintain the finest quality products and service by taking a moment to complete the form below.

About You

Name:
Address:City:
State:Zip:
Tel #:

Date & Time Served:
Do you live within: 1-2 miles   3-5 miles   More than 5 miles
Are you a: First time guest   Occassional guest   Regular Guest
Visits per month:
How often do you dine out weekly?
How often do you eat pizza monthly?
How did you hear about us?

How are we doing?

YesNo
Was your greeting prompt and friendly?
Were the restrooms clean and supplied?
Did an employee visit your table?
Will you return to Pantera's Pizza?


Please rate the following:ExcellentGoodFairPoor
Service
Atmosphere
Attitude
Quality
Value
Overall Impression


If you could change one thing at Pantera's Pizza, what would it be?


Additional comments or suggestions: