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Contact
Feedback
Contact Us
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Door Host & Cashier
Date of Visit
(Required)
MM slash DD slash YYYY
Time of Visit
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Which Restaurant Did You Visit?
(Required)
Choose One
Costa Messa South - 4013 W Exp 83 McAllen, Tx 78503
Costa Messa North - 5248 N 10th St. McAllen Texas 78504
Courtesy of Door Host/Cashier
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Accuracy of Wait Time for Table
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Server
Server Name
Courtesy
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Promptness
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Attentiveness
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Food
Appearance
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Taste
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Quality
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Portion Size
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Temperature
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
What Food Items Did You Order?
Overall
Service
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Food
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Value
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
Atmosphere
1
2
3
4
5
6
7
8
(1 - Poor & 8 - Excellent)
How Likely Are You To Recommend This Restaurant To A Friend or Family Member?
1
2
3
4
5
6
7
8
(1 - Definitely Not & 8 - Definitely Will)
Restroom Cleanliness?
N/A
1
2
3
4
5
6
7
8
(1 - Very Dirty & 8 - Very Clearn)
Number in Party
(Select One)
1
2
3
4
5
6
7
8
9
10
More
Name
First
Last
Did A Manager Stop By Your Table?
Yes
No
Were There Any Issues During Your Visit?
Telephone
Email
Are You Interested In Receiving Promotions & Offers From Costa Messa Restaurant?
Yes
No
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