Village Pizza & Seafood - Feedback Page

Feedback Form

To help us improve the quality of service, please take a few moments to complete this survey regarding your food experience with us. Your opinion is valuable to us and all comments will be greatly appreciated.

How often do you visit us a month?

0 Times 1-4 Times 5 Or More Times

Have you visited any of our other locations?

Yes No

(If Yes, Location Visited?)

Greeted on Arrival?

Yes No

Date of Visit?

(Use Calendar Icon to select date)

Time of Visit?

Will you visit any of our stores in the future?

Yes No Maybe

Please take a moment to rate:

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Cleanliness of Restaurant:

Temperature of Food:

Quality of Meal:

Friendliness:

Promptness of Service:

Accuracy of Order:

Value of Food:

Cleanliness of Restrooms:

How can we get back in touch with you ?
Your First Name:
Your Last Name:
Your e-mail address:
Home Address:
City:
State:
Zip Code:
(optional) Home Phone contact:
(optional) Work Phone contact:
(optional) Cell Phone contact: