We value your comments and feedback — in fact, some of our best ideas were yours! Please take a moment to complete this brief questionnaire. Thank you for visiting the CocoPalm Restaurant |
How do we rate?  |
| What is your zip code: |
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| Occasion: |
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Brunch
Lunch
Dinner
Bar / Entertainment
Private Party
Other |
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| During the past six months, how frequently have you eaten at CocoPalm |
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1 time
2 times
3 to 5 times
6 or more times |
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| Would you recommend CocoPalm to your friends? |
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Yes
No |
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| Based on your experience, you would: |
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Definitely return
Probably return
Probably not return
Definitely not return |
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| What do you like best about CocoPalm? |
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| Additional Comments |
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| Date of Visit:
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| Number in Party:
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Server Name and Number:
(Is located on your receipt) |
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