Customer Feedback
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Name * :
Contact No. * :
Email * :
Date of Birth : Day:    Month: 
Anniversary Date : Day:    Month: 
Is this your first visit? * : No    
Have you been to Benihana in any other country? * : Yes No    
What persuaded you to come? * :  Good Food       Atmosphere       Prepration
 Recommendation       Other 
How would you rate the food? * : Good Very Good Excellent  
How Would you rate the service in Benihana Resturant? * : Good Very Good Excellent  
How Would you rate the atmosphere/ ambience of Benihana * : Good Very Good Excellent  
Would you recommend Benihana Restaurant to your friend? * : Yes No    
Comments * :

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