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Date: Day Month Year
Time: 18.00-02.00 hrs
Table No.: (1-70)
Personal Information

1. Sex Male Female
2. Age Lower than 20 20-29 yrs 30-39 yrs 40-49 yrs 50 yrs up
3. Occupation Business owner, Housewife, Student, Office staff,
State enterprise employee, Government official, Unemployed, Others

Good Fair Need Improvement

4. Food Quality
Taste
Freshness
Value for money

5. Service
Manner
Attentiveness
Friendly & Cheerful

6. Quickness
Service
Bill Collection

7. How often do you come to Kum Punn Pub & Restaurant?
First time 1-2 times/month 1-2 times/week more than 2 times/week

8. Who do you usually come with?
Family Friend Co-workers Alone Others

9. What were your menus today?

10. Comments
________________________________________________

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