Need assistance with this form?
What was your dining experience? *
Date of Experience? *
Name of Server/Bartender:
How many guests were in your party?: *
Were you greeted immediately upon entering the restaurant? *
Was the staff friendly and helpful? *
Did the manager visit your table? *
How was the overall cleanliness, atmosphere and staff appearance? *
Will you return to Dales Southern Grill? *
Will you recommend Dales Southern Grill to your friends and family? *
Have any additional comments?
First Name: (required)
Last Name: (required)
Email Address: (required)