Take a minute to complete the survey and automatically participate in our contests.
First name:
*
Last name:
*
Address:
*
City:
*
Province:
*
Postal code:
*
Country:
*
E-mail:
*
Telephone:
*
(xxx-xxx-xxxx)
Date of birth:
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Language:
*
Choose one
English
Francais
Place Visited:
*
Choose one
Auberge
Restaurant
Personnel's courtesy:
*
Choose one
Very Good
Good
Acceptable
Inacceptable
Food's quality:
*
Choose one
Very Good
Good
Acceptable
Inacceptable
Efficiency of our service:
*
Choose one
Very Good
Good
Acceptable
Inacceptable
Price factor:
*
Choose one
Very Good
Good
Acceptable
Inacceptable
Atmosphere:
*
Choose one
Very Good
Good
Acceptable
Inacceptable
Were you impressed?
*
Yes
No
Will you be coming back?
*
Yes
No
Did you come for:
*
Breakfast
Lunch
Dinner
How often do you visit?
*
Choose one
1st visit
Occasionally
1 to 3 /month
4 to 6 /month
+ 6 /month
How did you hear about us?
Yes, I would like to receive more information about future promotions from Casa de Matéo
Yes, I have read the contest
rules and regulations
and agree that I meet all eligibility requirements
*
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