Tarts
Gateaux
Biscuits
Cakes & Swissroll
Bakery
Chocolate & Bonbonieres
Ice Cream
Kahk & Petit Fours
Oriental Sweets
Sandwiches
Salaison & Canapé
Occasions
Sugar Free
Guest Survey *Required Fields
Client Name:
 
Is this your first visit? yes No
 
How often do you visit us?   Weekly Monthly Yearly Other
How did you here about us?
   
 
Advertisement

   
Recommendation

   
Passing by

   
Others

   
 
 
What did you order in your last visit? 
   
What is your favorite Tarte/Cake?
   
What is your favorite kind of gateaux?
   
What are your best side items?
 
Our score from your point of view:
 
  • Products quality
  •    
    Excellent   Good   Fair   Poor  
     
  • Products Variety  
  •    
    Excellent   Good   Fair   Poor  
     
  • Service
  •    
    Excellent   Good   Fair   Poor  
     
  • Staff 
  •    
    Excellent   Good   Fair   Poor  
     
  • Value for money
  •    
    Excellent   Good   Fair   Poor  
     
  • Cleaning
  •    
    Excellent   Good   Fair   Poor  
     
  • Interior design
  •    
    Excellent   Good   Fair   Poor  
     
    What are your suggestions to help us improve our service?  
     
     
    Are you planning to visit us again?   Yes     No   May be  
     
     
    Guest Information:
       
    *Name
    Address
    Gender
    Age
    Profession
    Nationality
    Tel Fax Mobile
    *E-mail
       

    Would you like to be informed with our new products and events?

     
      Yes No  
           
     
     
     
    Created by IT Vision   Copyright © 2006, La palma Co.