Form Designer

NLC Dining Room Survey

We are dedicated to providing an outstanding dining experience for our Members and guests and welcome all feedback about your meal, service or anything else. Please rate your experience:
1 - Very Satisfied
2 - Satisfied
3 - Neutral
4 - Dissatisfied
5 - Very Dissatisfied

Time

Date

How would you rate the general ambiance in the Dining Room? *

1- very satisfied

2- satisfied

3 - neutral

4 - dissatisfied

5 - very dissatisfied

How would you rate the service? *

1 - very satisfied

2- satisfied

3 - neutral

4 - dissatisfied

5 - very dissatisfied

How would you rate your food today? *

1 - very satisfied

2- satisfied

3 - neutral

4 - dissatisfied

5 - very dissatisfied

If you had wine today, how would you rate it? *

1 - very satisfied

2- satisfied

3 - neutral

4 - dissatisfied

5 - very dissatisfied

Overall, how would you rate your Dining Room experience? *

1 - very satisfied

2- satisfied

3 - neutral

4 - dissatisfied

5 - very dissatisfied

Please add any other comments about your Dining Room experience.

Please enter your email address if you wish to be contacted about your dining experience.

Submit

HTML Generator

Form Designer

NLC Dining Room Survey

Weather

HTML Generator

Form Designer

NLC Dining Room Survey

Weather

Member Login