GIVE US YOUR FEEDBACK

GIVE US YOUR FEEDBACKWendy Ruel2020-06-10T15:42:01+00:00

We Appreciate Your Feedback! Please Tell Us About Your Experience:*
Location of Your Visit*
- The Well Bar Grill and Rooftop
- Lew's Grill and Bar
- Charlie Hooper's Bar and Grille
Type of Visit*
- Dine-In
- Curbside/Take-Out
- Delivery
- Private Event
Date of Your Visit*
Date Format: MM slash DD slash YYYY
Time of Your Visit*

: HH

MM
Name(s) of Staff Member
Would You Like Us To Contact You?*
- Yes
- No
Name
First Last
Email*
Enter Email Confirm Email
Phone #
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