Date of Visit (mm/dd/yyyy):

Select Meal:

Server`s Name:

How did you hear about us:

Did your server greet you promptly?

Was your meal delivered hot and fresh?

Was your meal delivered in a timely fashion?

Was your server knowledgeable about menu and specials?

Was your server polite and friendly?

Were you shown the dessert tray?

Were you offered fresh pepper for you soup or salad?

What did you like best about the Black Forest Brew Haus?

Was there anything you didn`t like?

Will you return?

What items would you like to see added to our menu?

Name:

Street Address:

City, State, and Zip:

Email Address:

Birthday (month and day only):

Would you like to receive periodic emails about upcoming events and specials?

Comments