Ice Cream & More

Customer Survey Form

Dear Valued Customer,

Thank you for taking the time to fill out our Ice Cream & More Customer-satisfaction survey form. Your answers help us improve your dining experience at Ice Cream & More and are strictly confidential. None of your personal information will be shared with other organizations.

First name:

Last name:

Tell us about your visit

At what time of the day was your last visit to Ice Cream and More?

Time of day:

During your last visit, how many people were in your party?

Number of Guests:

How did you hear about Ice Cream & More?

Through:

Which of the following types of snacks or drinks are of interest to you or members of your party? (Choose all that apply.)

Coffees such as Lattes, Espressos, Fresh Brewed Coffee, Cappuccinos, Frappes, and Americanos	Ice cream products such as Ice Cream Bars, Ice Cream sandwiches, Waffle cones, Cake cones, and Sugar cones
Coca-Cola products, Floats, Snowballs, Shakes, Malts, and Fresh squeezed Lemonades	Bananas, Pastries, Chili cheese dogs, and Nachos
Smoothies	NA

Rate your visit with us!

Please take a few moments to rate our facility and services. (If no one in your party ordered anything or ate, please mark NA.)

Facility or Service	Excellent	Good	Needs Improvement	NA
Food
Cleanliness
Quality and Taste
Value for Price Paid
Friendliness

How good are we?	Definitely	Maybe	Never
How likely are you to tell your friends and family about Ice Cream & More?
How likely are you to visit again?
Did we meet your expectations of an Ice Cream and Coffee Shop?

What can we do to make your dining experience even better?
Would you like to receive our promotions and coupons by e-mail?		Yes No
If yes, please enter your e-mail address :