Guest Feedback Form Thank you for taking the time to fill out our feedback form. How did you hear about West? When did you visit us? Was this your first visit to West Restaurant? How many guests were in your party? Please Select 1 2 3 4 5 6 7 8 9 10 or more Who was your server? Please answer the following questions on a scale of 1 to 5. 1 is disappointing and 5 is outstanding. Overall, How did you enjoy your evening? Please Select 1 2 3 4 5 Please rate your server Please Select 1 2 3 4 5 Please rate our menu Please Select 1 2 3 4 5 Please rate our wine selection Please Select 1 2 3 4 5 We invite you to share any other comments with us. Salutation -- Mr. Mrs. Ms. Miss. Dr. First Name Last Name Email Address Telephone