GIVE US YOUR FEEDBACK – The Well

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GIVE US YOUR FEEDBACKWendy Ruel2023-12-15T10:07:47-06:00

GIVE US YOUR FEEDBACK

NeighborhoodEventPartyPrivateDiningSpaces

We Appreciate Your Feedback! Please Tell Us About Your Experience:*
Location of Your Visit*
- Lew's Grill and Bar
- Charlie Hooper's Bar and Grille
Type of Visit*
- Dine-In
- Curbside/Take-Out
- Delivery
- Private Event
How Did You Order?*
- In-Person
- Over Phone
- Online
What Delivery Service Did You Use?*
- ChowNow or Menufy + DoorDash
- DoorDash
- Uber
- GrubHub
- Postmates
- Other - Please name in comments
Date of Your Visit*
MM slash DD slash YYYY
Time of Your Visit*

: Hours

Minutes

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