DATE OF YOUR VISIT *

MM

DD

YYYY

APPROXIMATE TIME OF VISIT

Hour

Minute

Second

AM PM

HOW WOULD YOU RATE YOUR OVERALL EXPERIENCE DURING YOUR VISIT, ON A SCALE OF 1 TO 5 (5 BEING EXCELLENT, 1 BEING POOR) *

5 - EXCELLENT

4 - ABOVE AVERAGE

3 - AVERAGE

2 - BELOW AVERAGE

1 - POOR

DID OUR TEAM MEET YOUR EXPECTATIONS OF SERVICE, FRIENDLINESS AND CUSTOMER EXPERIENCE? *

YES

NO

ON A SCALE FROM 1 TO 5, HOW SATISFIED WERE YOU WITH THE CLEANLINESS AND AMBIANCE OF OUR BREWERY/TAPROOM? *

5 - VERY SATISFIED

4 - SATISFIED

3 - NEUTRAL

2 - SLIGHTLY SATISFIED

1 - NOT AT ALL SATISFIED

DID YOU TRY ANY FOOD DURING YOUR VISIT? *

YES

NO