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1) Which restaurant are you reviewing?

2) On a scale of 1 to 5 stars, with 5 stars being the best, how did you rate your dining?

Ambiance
 Service
 Food

3) When did you dine at this restaurant?



4) What other observations did you have?

***Confidential Info - - For Our Internal Use Only***
5) First Name     Last Name
6) Age    
7) Email
8) Sex:   Male   Female
9) What State or Country are you from?

10) How often do you eat at Restaurants?

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Thank you very much for sending us a review. If you have provided us with all the requested information, we will post your review on our site. Reviews submitted by September 30, 2003 are automatically entered into
the T-shirt contest. Many Thanks!!!

- The GreyLadyGourmet Team

 

 

 


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