Name:

Address:

City:

State:

Zip:

Email Address:

Phone Number:

Restaurant Location You Visited:


Denver, CO
Salt Lake City, UT
American Fork, UT
Fort Collins, CO

Date of Visit:

Time of Visit:

Server's Name:

Host Greeting: Excellent Average Fair

Salad Bar: Excellent Average Fair

Grilled Meats: Excellent Average Fair

Price/Value: Excellent Average Fair

Server: Excellent Average Fair

Meat Server: Excellent Average Fair

Did a manager visit your table: Yes
No

How did you hear about us:







TV/Radio
Newspaper/Magazine
Mailing
Email/Website
Friend/Relative
Driving/Walking by
Other

How often do you dine at Rodizio Grill:


First time ever
First time in 12 months
2-4 times in 12 months
5+ times in 12 months

What did you like most about Rodizio Grill:

What can we do better: