Dining Services Survey
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1.
Overall, how would you rate your satisfaction with our dining service?
Extremely Satisfied
5
4
3
2
1
Not at all Satisfied
Please rate your level of satisfaction with the dining service areas you typically eat at
more than once a week
. Please check n/a if any of the stations below are not available at your dining service.
Extremely Satisfied 5 4 3 2 1 Not at all Satisfied
2.
Station
5
4
3
2
1
n/a
Comment
a. Hot Entrée
b. Grill
c. Deli
d. Grab 'n Go
e. Salad Bar
f. Soup
g. Pizza
h. Breakfast
i. Beverage
3.
Food
5
4
3
2
1
n/a
Comment
a. Portion Sizes
b. Taste of food
c. Food Quality
d. Appearance
e. Hot food hot/cold food cold
f. Offering specials
g. Availability of nutritional info
4.
Service
5
4
3
2
1
n/a
Comment
a. Employee knowledge
b. Speed of Service
c. Speed of check-out
d. Appearance of Staff
e. Friendliness of Staff
f. Staff responsiveness
g. Management responsiveness
5.
Atmosphere/Hours
5
4
3
2
1
n/a
Comment
a. Pleasant place to eat
b. Cleanliness of café
c. Easy to find what you want
d. Dryness/cleanliness of trays
e. Hours for Breakfast
f. Hours for Lunch
g. Hours for Dinner
6.
Overall, how would you rate our dining service in terms of value for the money?
Excellent Value
5
4
3
2
1
Poor Value
7.
Based on your dining experience, how likely would you be to recommend our dining service to a new employee?
Definitely Would
Probably Would
Might or Might Not
Probably Would Not
Definitely Would Not
8.
When did you complete this survey?
Daytime (Monday - Friday)
Evening
Weekend
9.
Are you:
Female
Male
10.
We would appreciate knowing your role at the hospital:
Medical/Admin
Nursing/Clinical Staff
Support Staff
Hospital, Other
Visitor
11.
Please provide your
permanent
5-digit zip code.
This information will only be used in our efforts to understand our customer's preferences and serve you better. The zip codes will not be used in any mass marketing purpose
12.
General Comments
We welcome any other comments you have about this location.
Please let us know if there are any other items you would like to see offered.
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