Please take a minute to let us know what you liked or
what we can do to make your visit more enjoyable at
Killarney's Restaurant & Irish Pub!
First Name:
Last Name:
Email:
Address:
City:
Zip:
When is your birthday?
What was the date of your visit? Date:
Was this your first visit?
Yes
No
How was our greeting staff? (5-Excellent, 1-Poor)
5
4
3
2
1
How was the food? (5-Excellent, 1-Poor)
5
4
3
2
1
What items did you order?
How was your server? (5-Excellent, 1-Poor)
5
4
3
2
1
What was your servers name?
How was the ambiance/atmosphere? (5-Excellent, 1-Poor)
5
4
3
2
1
How do you feel overall about your experience? (5-Excellent, 1-Poor)
5
4
3
2
1
Was our establishment clean?
Yes
No
Were our restrooms clean?
Yes
No
Would you recommend us to a friend?
Yes
No
Will You Be Back?
Yes
Undecided
No
Would you like to be contacted on any of the above information?
Yes
No
Please provide additional information or comments:
Please check this box if you would like to recieve promotional mailings and emails from Killarney's regarding new menus, upcoming exciting events and specials
