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The following survey is to better understand our customers. Your thoughts and opinions of our business will help to determine what is being done correctly and what might need some improvement. Please take a few minutes to accurately fill out these quick and easy questions. Thank you for your time and thoughts.
     - Jake the Salty Dog

1. When did you last order from Jake's Pizza?
Less than a week ago
Less than two weeks ago
Less than a month ago
Less than six months ago
More than six months ago

2. Why did you choose Jake's Pizza?
Coupon
Friend
Phone Book
Newspaper
Had it before
Other      

3. The person taking your order was :
  a. Easy to understand Difficult to understand N/A
  b. Informative Not informative N/A
  c. Helpful Not helpful N/A
  d. Professional Not professional N/A

4. In what manner did you receive your last order?
Delivery      Pick-up

Please rate your delivery experience :
  a. Delivery was fast Delivery was on time Delivery was late
  b. Pizza was hot Pizza was warm Pizza was cold
  c. Driver was exceptional Driver was as expected Driver was less than expected

Please rate your pick-up experience :
  a. Food was ready quickly Food was ready on time Food was ready late
  b. Food was hot Food was warm Food was cold
  c. Staff was exceptional Staff was as expected Staff was less than expected

5. What did your last order consist of?* (please check all that apply)
Pizza Stromboli Half Moon Salad Wings

6. Please rate your meal on the following scale:
1 = Poor, 2 = Unsatisfactory, 3 = Satisfactory, 4 = Above Average, 5 = Excellent

Pizza  
  Taste
1 2 3 4 5
  Appearance
1 2 3 4 5
  Cheese
1 2 3 4 5
  Sauce
1 2 3 4 5
  Crust
1 2 3 4 5
  Toppings
1 2 3 4 5

Stromboli		  
  Taste
1 2 3 4 5
  Appearance
1 2 3 4 5
Half Moon  
  Taste
1 2 3 4 5
  Appearance
1 2 3 4 5

Salad		  
  Taste
1 2 3 4 5
  Appearance
1 2 3 4 5

Wings		  
  Taste
1 2 3 4 5
  Appearance
1 2 3 4 5

7. Please rate your overall experience with Jake's Pizza
1 2 3 4 5 6 7 8 9 10
Very Poor Satisfactory Excellent

Please list any other comments or suggestions you may have (optional):


Contact Information
Name:
Address:
City: State: Zip:
Phone:    Email:

  


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