Feedback Form
  Please tick the appropriate checkboxes and radio buttons.
 
1. Name of Outlet
Steak House & Restaurant
Cake House
Catering
Name of Outlet/ Cakehouse/ Catering
JP Ang Mo Kio JP Great World City
JP Anchor Point JP Marina Square
JP Bras Basah Complex JP Parkway Parade
JP Bukit Panjang Plaza JP United Square
JP Causeway Point JP West Coast Recreation Ctr
JP Century Square JP The Hereen
JP Compass Point JP 1 Utama
JP Sunway Pyramid  
   
Box Bistro Tampines Eatzi Eastpoint
Seafood Harvest Bugis Junction Eatzi Yishun
Brewbaker's  

2. Your decision to visit The Outlet is influenced by:
Recommendation
Previous Visit/ Experience
Advertising on:
   
Newspaper TV
Mailers/ Leaflets Bus/ Truck
Magazines (pls specify):
Others (pls specify):

3. The purpose of this meal occasion was:
Business
Birthday
Social
Anniversary
Others (pls specify):
  

4. How often do you visit/ use the service of The Outlet?
First Visit
Once a week or more
Once a month or more
Hardly

5. When you dine at The Outlet, it is usually with:
Friends
Colleagues
Family Members
Business Associates



5 - Extremely satisfied, 4 - Satisfied, 3 - Neutral, 2 - Unsatisfied, 1 - Extremely unsatisfied

Using the above rating, please rate us on the following :

Service

A.
Promptness/ Speed
 
5 4 3 2 1
B.
Friendliness
 
5 4 3 2 1
C.
Attentiveness
 
5 4 3 2 1
D.
Menu Knowledge
 
5 4 3 2 1

Food
A.
Quality
 
5 4 3 2 1
B.
Presentation
 
5 4 3 2 1
C.
Variety
 
5 4 3 2 1
D.
Portion Size
 
5 4 3 2 1
E.
Doneness of your Steak
 
5 4 3 2 1
F.
Value for Money
 
5 4 3 2 1


Restaurant

A.
Ambience
 
5 4 3 2 1
B.
Cleanliness
 
5 4 3 2 1
C.
Lighting Comfort (Brightness)
 
5 4 3 2 1
D.
Air Conditioning Comfort
 
5 4 3 2 1
E.
Sound Level & Selection of Music
 
5 4 3 2 1


Cake House
(Please ignore if not applicable)

A.
Outlook of Shop
 
5 4 3 2 1
B.
Cake Display
 
5 4 3 2 1
C.
Cleanliness of the Shop
 
5 4 3 2 1


Catering
(Please ignore if not applicable)

A.
Set-up Presentation
 
5 4 3 2 1
B.
Cleanliness of Equipment/ Ultensils
 
5 4 3 2 1

6. Would you like to visit/ use the service of The Outlet again?
Yes Maybe No

7. Would you visit other Outlets?
Yes Maybe No

8. Are you a Jack's Place Privilege Card Member?
(For more information, please take an Application form from the counter/ staff)
Yes No

9. Is there anything about our restaurant, cake house and catering facilities which could be improved?

Date:
Time of Arrival/ Event:
Hrs Mins
Time Left/ Event Ended:
Hrs Mins
 
Salutation:
Name:
Contact:
Address:
Email:
Occupation: