Customer feedback survey

Thank you for dining at Capital City Diner.  We regularly make changes to our menu, service, and offerings based on honest customer feedback. If you would like to provide feedback on your recent experience, please fill out the below form to assist us in making sure every visit is enjoyable, consistent, and meets your expectations.

Your Name:

Your E-mail Address:

Date of Visit:

Time of Visit:

Receipt Number:

Dine in or carry-out?  Dine in Carry-out order

Who was your server? Please provide a description if you don't know the name.

Did the service meet your expectations? If not, how can we improve?

How was you food? Please tell us what you liked best, as well as what you would change.

What is your favorite menu item?

What is your LEAST favorite item?

Additional comments