Customer Comment Card
Required fields denoted in
RED
...
Date
:
Time
:
Manager on Duty:
Server
:
Your Name
:
Number in Party
:
Address:
City:
State:
Zip Code:
Phone Number:
How long have you been a customer of Campus Pollyeyes?
First Time
Less than 5 Years
10 Years +
How often do you visit us?
Once a week
Several times per week
Once per month
Every now and then...
If you could change anything about your visit with us, what would it be?
What impressed you most about your visit?
Additional Comments and/or Concerns: