Mr. Grande Pizza

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WE WANT YOUR OPINION!

We are constantly striving to improve customer satisfaction. Mr. Grande himself wants to hear about your experience regarding our restaurant. Please complete the form below. If you would like a response, please complete the entire form below. We will attempt to respond to your e-mail as quickly as possible. Please note that the information you provide us will NOT be used or sold to any other company.

Please complete the following form and click "Submit" at the bottom of the page. The following information is considered personal and confidential:

What is your favorite food item at Mr.Grande Pizza?

Pizza
Slices
Subs
Wings
Other (Please list)

Tell us about your last visit:

Type of service:

Date and time of visit:

Type food items ordered:

Amount spent:

Please rate us based on your last visit:	EXCELLENT	GOOD	FAIR	POOR
Food - Quality
Food - Speed
Service - Friendliness
Cleanliness

Please share your comments regarding your visit. We welcome suggestions:

Personal Information:

Please note that the information you provide us will NOT be used or sold to any other company.

First Name:

Last Name:

Address:

City, Province & Postal Code:

Daytime Telephone:

Evening Telephone:

Fax:

e-mail:

Thank you for taking the time to complete this survey. Your comments are valuable to us!