Feedback Form
We would appreciate you taking the time to complete the following feedback form.
Please circle selections.
Name
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Contact phone number
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Age bracket
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Please choose age bracket
0 – 18
19 – 30
31 – 50
+51
How did you hear about us?
:
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Facebook
Website
Referral
Magazine
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How often do you order Roma Pizza 2 Go?
:
Which branch?
:
What time?
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Food
Portion size
:
Too small
Too large
Just right
Flavor
:
Needs improvement
Average
Good
Excellent
Presentation
:
Needs improvement
Average
Good
Excellent
Value for money
:
Needs improvement
Average
Good
Excellent
Variety
:
Needs improvement
Average
Good
Excellent
Freshness
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Needs improvement
Average
Good
Excellent
Services
Friendly
:
Needs improvement
Average
Good
Excellent
Professional
:
Needs improvement
Average
Good
Excellent
Explanation of menu
:
Needs improvement
Average
Good
Excellent
Delivery time
:
Needs improvement
Average
Good
Excellent
Are there any other items you would like to see on our menu? If so, please elaborate
Other Comments/suggestions:
Thank you for taking the time to fill out this form!
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