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GIVE US YOUR FEEDBACK
Wendy Ruel
2021-03-12T14:22:06-06:00
GIVE US YOUR FEEDBACK
We Appreciate Your Feedback! Please Tell Us About Your Experience:
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Location of Your Visit
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The Well Bar Grill and Rooftop
Lew's Grill and Bar
Charlie Hooper's Bar and Grille
Type of Visit
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Dine-In
Curbside/Take-Out
Delivery
Private Event
How Did You Order?
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In-Person
Over Phone
Online
What Delivery Service Did You Use?
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ChowNow or Menufy + DoorDash
DoorDash
Uber
GrubHub
Postmates
Other - Please name in comments
Date of Your Visit
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MM slash DD slash YYYY
Time of Your Visit
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:
Hours
Minutes
AM
PM
AM/PM
Name(s) of Staff Member
Would You Like Us To Contact You?
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Yes
No
Name
First
Last
Email
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Enter Email
Confirm Email
Phone #
Phone #
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