Thank you for vising The Shiloh's website.

Your comments are appreciated!

Just complete this form. Click on Submit when ready to send.

Your name:

Email address:

1. How did you find our website?

Visited Restaurant
Search Engine
Online Directory
Heard Radio Advertisement
Saw Print Advertisement
Other

2. If you visited our restaurant, we would appreciate your comments. Please complete the following survey questions. If not, please skip to No.3

A. How did you hear about our restaurant?


B. What was the date of your visit?


C. Type of visit?
Dinner
Party
Drinks

D. Was this your first visit?
Yes, first ever
First since renovation
No

E. Were you greeted when you came in?
Yes
No

F. Please rate the quality of your food.
5-Exceptional    4-Good     3-Average     2-Below Average     1-Poor

G. Please rate the quality of your service.
5-Exceptional    4-Good     3-Average     2-Below Average     1-Poor

H. Who was your server?


I. Was an entertainer performing at the time of your visit?
Yes
No

J. If yes, who was the entertainer?


K. What did you think of the entertainment?
5-Exceptional    4-Good     3-Average     2-Below Average     1-Poor

L. Will you visit us again?
Yes
No

3. Would you like to be added to our mailing list to receive special offers and notification of special events?

Yes
No

If yes, what is your street address?


What city do you live in?


What state do you live in?

What's your zip code?


When is your birthday?

What day?

4. Do you have any questions or comments?

All information will be kept private.