Please make comments or suggestions about our restaurant or website.
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Name *
Address *
City
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Zip *
E-mail Address: *
How did you find out about Jimmy’s?
How often do you visit?	Daily Weekly Monthly Only when Jimmy is present
Preferred time	Lunch Dinner
Were you greeted promptly by our staff?	Yes No
Were employees patient when taking your order?	Yes No
Were employees friendly and courteous?	Yes No
Any Problems? Please explain
Are there items we should consider adding to our menus?
Appearance / cleanliness of our restaurant	Clean Passable Poor - Needs improvement
What do you like best about Jimmy’s?
Would you recommend us?	Yes No fffffffff
Your overall dining experience
Do you have any specific comments, complaints or compliments?
What can we do to improve our service?
Would you like us to contact you?	Yes No
Would you like to be added to our E-mail list for upcoming special events?	Yes No


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