E-mail address: What date did you visit? How would you rate us? 1 = low 5 = high Food: ---12345 Service: ---12345 Atmosphere: ---12345 Any other information you can give us to improve our services? NB: if you have some serious constructive feedback, we would like you to email us at: email@example.com so we can respond appropriately. THANK YOU Thank you for visiting us and taking the time to leave us your feedback. It is important that you submit your e-mail address as you will be entered into our monthly draw to win a £ 30 voucher!