What day of the week was your visit?    Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What time of day was your visit?  Select Morning Mid-Morning Noon Afternoon Evening

Was your visit  Select Take Out Drive Thru Take Out Walk In Eat In Eat In with Waitress

If you ate inside, what was your Server's name? 

Did you eat inside or outside?   Inside    Outside

Quality of Service    Select Excellent Good Fair Poor             Menu Selection  Select Excellent Good Fair Poor

          Portion Size    Select Excellent Good Fair Poor        Value for the Price  Select Excellent Good Fair Poor

Dining Atmosphere  Select Excellent Good Fair Poor

How often do you visit Biff Burger?
  1st Time        1-2x a Week        1-2x a Month        1-2x a Year

How close do you live from Biff Burger?
Under a Mile          1-5 Miles          Over 5 Miles          Out of Town

Please list the main reasons for coming to Biff Burger
1)   
2)   
3)   

Comments\Questions\Additional Info
  

Would you recommend us to your friends?  Select Yes No

Contact Info (Not necessary except for prize drawing entry)

Name                           
Company            
Address              
City                     
State/Province    
Postal Code       
Telephone           
Email Address  
D.O.B.              

THANK YOU FOR CHOOSING BIFF BURGER

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