First Name |
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Last Name |
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| Address | |
| City | State Zip |
| Phone Number | |
| Married ? | Yes No |
| Children at home? | Yes How Many No |
| E-mail Address ? | |
How Many Miles do you live from the nearest Froggers ? |
-1 1to2 2to5 5+ |
| Which one? | |
Is this the particular Froggers you are referring to with this form? |
Yes No |
| If not, which Froggers are you referring to? | |
How often do you Visit Froggers? |
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If you are a regular visitor to Froggers please let us know below: |
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What is your favorite thing about Froggers? |
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What sports teams (Professional or Collegiate) do you enjoy watching on "Froggers" Satellite TV's? |
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How would you grade Froggers Grill and Bar? |
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Your overall experience? |
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Appearance of our staff? |
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| Appearance of our restaurant? | |
| Quality of our service? | |
| Quality of our food? | |
| Price level? | |
| Other | |
| Were you informed of our specials? | Yes No |
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What would you like to see Froggers Grill and Bar do better? |
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THANK YOU FOR YOUR TIME
