DATE OF VISIT 00/00:

How would you rate the overall experience? Excellent Good Fair Poor

Server Name?

Was your host friendly and attentive? Yes No

Did your server introduce him/herself? Yes No

How would you rate the quality of the food? Excellent Good Fair Poor

Did a manager or supervisor visit your table? Yes No

If you let us know of a special occasion you were celebrating (i.e. birthday, anniversary), did we acknowledge your event? Yes No N/A

How did you hear about Plaza III? Television Newspaper Radio Flyer Internet Friend or family Rewards Network Other

Would you recommend Plaza III to your friends and family? Yes No

What can we do to improve our service?

Would you like to receive information from Plaza III regarding special events and dining specials? If you would like for your survey to be anonymous and still opt to receive notices from us then you can sign up in the box below after you submit the survey results. *Privacy Policy Yes, please add me to mailing list NAME: EMAIL ADDRESS: BIRTHDAY MO/DAY: 00 01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   ANNIV MO/DAY: 00 01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 No, please do not add me to mailing list