Your information: (optional) Do not share my personal information with the restaurant First name Last name Telephone E-Mail Your experience: Experience type: Select... Dining Room Delivery Takeout Retail Product Date and Time: How did you hear about us? Select... Internet Search Mobile Ordering App Newspaper/Magazine Radio Social Media Television Word of mouth Other Disappointing Exceptional 1 2 3 4 5 6 Your arrival: Length of wait before being seated The restaurant: Cleanliness Atmosphere Comfort The service: Time to take the order Help and suggestions from your server Quality of service Your meal: You selected: Select... Savoury crepes Sweet crepes Fresh fruit Eggs Omelettes French toast Pancakes Waffles Sandwiches Lunch menu Other Preparation time Taste Temperature of your meal Quantity Our coffee Value Presentation Freshness How would you evaluate your general experience: Yes No                             Would you recommend this restaurant to a friend? What would you like to tell Cora: Optional : Attach relevant picture (only one)