Restaurant Name:                                                          Approximate Date of meal:
      

Address:

Type of Food: French German Indian International Italian Greek Japanese Mediterranean New Zealand Spanish/ Tapas Thai Korean Pizza Seafood Vegeterian Other (Please Specify) Desserts      Other: 

Service                  Quality of Meals        Average Main Meal Price
Poor Average Good Very Good Outstanding       Poor Average Good Very Good Outstanding             $10 - $15 $16 - $20 $21 - $25 $26 - $30 $30+

Overall Rating        1 2 3 4 5 (1=poor, 5=outstanding)    

Comments:


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