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Survey

At Cluck-U Chicken^®, we take pride in the quality of food and service we provide our customers. We know that your choices of eatery are numerous; Therefore we appreciate your business. If for any reason you are not satisfied. Please bring it to the attention of our restaurant manager and feel free to tell us about your experince at our stores by filling up the Survey Form.

* Location:

Store

* Date Of Visit:

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* Email:

Food Quality

5

4

3

2

1

Price / Value

5

4

3

2

1

Employee Courtesy

5

4

3

2

1

Speed of Service

5

4

3

2

1

Order Accuracy

5

4

3

2

1

Cleanliness (Floors, Tables, Restrooms)

5

4

3

2

1

Comfort And Atmosphere

5

4

3

2

1

Your overall experience on this occasion

5

4

3

2

1

Including this visit, How many times did you visit Cluck-U Chicken within the last 30 days

5+

4

3

2

1

Based on this visit would you order from us again?

Yes

No

May be

How did you hear about us?

How can we become better?

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