Please, enter a valid email Email - Required Please, enter a valid first name First Name - Required Please, enter a valid date of visit Date of Visit - Required Please, enter a valid approximate time of visit Approximate Time of Visit - Required Please, enter a valid name of your server Name of Your Server - Required Please, enter a valid friendliness of host/hostess Friendliness of Host/Hostess - Required

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Please, enter a valid did you have contact with the bartender? Did you have contact with the bartender? - Required

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Friendliness of Bartender 1 2 3 4 5 6 7 8 9 10

Please, enter a valid friendliness of your server Friendliness of your server - Required

Friendliness of your server 1 2 3 4 5 6 7 8 9 10

Please, enter a valid knowledge of your server Knowledge of your server - Required

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Please, enter a valid quality of the food Quality of the food - Required

Quality of the food 1 2 3 4 5 6 7 8 9 10

Please, enter a valid things that we can improve on with the food Things that we can improve on with the food - Required Please, enter a valid cleanliness of the restaurant Cleanliness of the restaurant - Required

Cleanliness of the restaurant 1 2 3 4 5 6 7 8 9 10

Please, enter a valid based on your visit, will you return to zia's? Based on your visit, will you return to Zia's? - Required

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Please, enter a valid please leave us any comments on what you enjoyed and what we can do better in the future. Please leave us any comments on what you enjoyed and what we can do better in the future. - Required