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Customer Comment Form

  What date did you visit CJ Maggies?
  What time was your visit?
  What location did you visit?
  How many people were in your party?
  Did you have reservations? Yes No
  What was your server's name and/or description?
  If you have your receipt, please provide your check number:


Getting to Know You!!

  First Name:   Last Name:
  Company name (if applicable):
  Address:
  City:   State:   Zipcode:
  Phone Number:   Fax:
  Would you like to be included on our e-mail list? Yes No
  E-mail Address:
  Friend's E-mail Address:


How was your experience?

  How would you rate the food you ordered?
  How would you rate the service you received?
  How would you rate the overall cleanliness?
  Were you greeted in a timely manner? Yes No
  How was the appearence of our staff?
  How would you rate your overall experience?
  What are you favorite menu item(s)?


Questions, Comments, Concerns

 
  Would you like us to contact you? Yes No
  Please enter the text shown below:
(this stops machine spamming)