Jacksonville
Survey
Name
*
First Name
Last Name
Email Address
*
Cell number
(###)
###
####
You enjoyed your visit?
*
Yes
No
Your server was friendly?
*
Yes
No
Your server was knowledgable and helpful?
Yes
No
You enjoyed the food and drink?
*
Yes
No
You would like to re-visit soon?
*
Yes
No
Who was your Server?
*
Comments
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