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Mitsuyado Sei-men Branches
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Sei-men Jupiter
Sei-men Bluebaywalk
Sei-men Cebu
Sei-men Mitsukoshi
Shokudo Glorietta
[1] Satisfaction
1. Overall satisfaction:
Excellent
Good
Poor
Bad
2. Your satisfaction on our service:
Excellent
Good
Poor
Bad
3. Who is the most impressive staff?
4. What was your order today?
5. Your satisfaction on food & coffee:
Excellent
Good
Poor
Bad
6. Efficiency of service:
Excellent
Good
Poor
Bad
7. Value for price:
Excellent
Good
Poor
Bad
8. Cleanliness:
Excellent
Good
Poor
Bad
9. Would you visit us again?
Yes
No
10. Would you recommend us to your Family / Friends?
Yes
No
[2.] How did you hear about us?
Hear About Us
*
Facebook
Website
Family/Friends
SMS
Flyers
Magazine
Walk By
Others
Others
[3.] How often do you visit our restaurant?
Visit
*
First Visit
Once a week
Once a month
Other
[3.] Comments / Suggestions:
Comments / Suggestions:
[4.] Comments / Suggestions:
Comments / Suggestions:
Personal Details
Hidden
Date:
MM slash DD slash YYYY
Name:
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First
Date of Birth:
MM slash DD slash YYYY
Gender:
Male
Female
Contact Number:
*
Email:
Address:
Age:
Under 20's
20's
30's
40's
50's and Above
Receipt
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Phone
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