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Title/Name 

Address    


Postcode     Telephone No. 

Please tick the appropiate box          Excellent     Good      Fair     Poor
Quality of Drinks                                                

Quality of Food                                                  

Quality of other items                                           

Friendliness of service                                          

Speed of service                                                 

Cleanliness                                                      

Overall Experience                                               

Date of visit   Time of Visit 


Name of Bar Person 
If everything was not to your satisfaction, did you inform
a member of staff/Manager?                                    YES   NO  

If so please give their name
If applicable, what action was taken
Any other comments 




Would you visit Moby Dick's again?                    YES   NO                 
Have you visited Moby Dick's before?                  YES   NO                 

1st visit   2-4 visits   5+ visits
                       


The information given in your reply may be stored by us and may be used for our marketing and
advertising puposes. 
Paul Hartnett
All Rights Reserved



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