Customer Feedback Form
Please fill in the following information:

Name and Surname:


Contact Number:

Residantial Area:

Question 1: Please state your gender.

Question 2: Please tell us your age range.

Question 3: Please state your marital status.

Question 4: Do you have a Facebook account? If yes, please like us on Facebook.

Question 5: Were you advised about the price draw and/or how to leave feedback about your visit?

Question 6: Did you use a voucher/promotion with your visit today?

Question 7: How often do you visit Pepper Chair?

Question 8: Please give us a summary of your visit today and highlight key points.

Question 9: If Pepper Chair could improve on one thing, what would it be?

Question 10.1: During your visit, did anyone stand out for delivering exceptional services?

Question 10.2: If Yes, please give a name:

Question 11: How likely is it that you would recommend Pepper chair to a friend or colleague?

Question 12: How likely is it that you will return to Pepper chair?

Based on your most recent visit, please rate the following aspects of your experience:

Question 13: Quality of the food?

Question 14: Value for money?

Question 15: The atmosphere?

Question 16: Service received?

Question 17: Cleanliness of the restaurant?

Question 18: Overall experience?

I am human.*

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