Thank you for visiting the Murphy Group of Restaurants web site. Please take a moment to complete our Guest Feedback form and tell us about your dining experience.

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GUEST INFORMATION:

*Name:
*Age:	-Plese Select- Less than 18 18 - 24 25 - 34 35 - 49 50 - 64 Over 65
*Phone:
*Email Address:

RESTAURANT LOCATION INFORMATION:

*MGR Restaurant Location:	-Please Select- 42nd Street Dooly's East Side Mario's Fishbones Gahan House ISE's Castello's Off Broadway Pat & Willy's Pizza Delight 1911 Jail Pizza Delight Express Sim's Corner
*Date:
*Time of Day:	-Plese Select- Breakfast Lunch Dinner Late Night Take Out
Server’s Name: (Leave blank if you do not recall your Server's name)

PLEASE RATE YOUR CULINARY EXPERIENCE:

Taste:
- Excellent	- Good	- Average	- Fair	- Poor
Freshness:
- Excellent	- Good	- Average	- Fair	- Poor
Portion Size:
- Excellent	- Good	- Average	- Fair	- Poor
Temperature:
- Excellent	- Good	- Average	- Fair	- Poor

PLEASE RATE OUR SERVICE:

Host/Hostess Greeting:
- Excellent	- Good	- Average	- Fair	- Poor
Knowledge of Server:
- Excellent	- Good	- Average	- Fair	- Poor
Overall Attitude of Server:
- Excellent	- Good	- Average	- Fair	- Poor
Speed of Service:
- Excellent	- Good	- Average	- Fair	- Poor

PLEASE RATE YOUR OVERALL DINING EXPERIENCE:

Atmosphere:
- Excellent	- Good	- Average	- Fair	- Poor
Cleanliness of Restaurant:
- Excellent	- Good	- Average	- Fair	- Poor
Cleanliness of Washrooms:
- Excellent	- Good	- Average	- Fair	- Poor
Audio Level of Music:
- Excellent	- Good	- Average	- Fair	- Poor
Menu Selection or Variety:
- Excellent	- Good	- Average	- Fair	- Poor
Overall Dining Experience:
- Excellent	- Good	- Average	- Fair	- Poor

OTHER INFORMATION:

Did you see a Manager on duty?	Yes    No
Did a Manager visit your table?	Yes    No
Was this your first visit to this MGR location?	Yes    No
Will you visit again?	Yes    No
Would you recommend us to a friend?	Yes    No
If you would not recommend us, why not?
Would you like to receive communications from the Murphy Group of Restaurants about specials & promotions?	Yes    No
Comments:

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