Restaurant Review Feedback

First Name

Last Name

Street Address

Phone *

Email *

How long have you lived in Brookhaven?

What restaurant did you visit? Which location?

What food did you sample/order?

How did you enjoy the food?

What was your favorite dish?

Was it reasonably priced?

Would you go back?

Would you recommend the restaurant to a friend?

Please rate the following:

Food

BadGood

Atmosphere

BadGood

Cleanliness

BadGood

Service

BadGood

Value

BadGood

Overall

BadGood

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