Adult Day Services Lunch Questionnaire 2018 - 2019

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Closes 29 Mar 2019

Introduction

1. Date completed

2. Please Rate:

Food Choice
Food Presentation
Food Quality
Service of Food
Staff Appearance
Dining Room Cleanliness

3. Any Dietry Requirements Met?

(Required)

4. Kitchen Staff would like you to talk to them regarding the meals provided. They want to know if you are happy/unhappy about the service or if you have any comments or suggestions you would like to give.