Online Comment Card
We value your comments! Please fill out this form to let us know how you enjoyed your visit. Each month, a random entry will be chosen and awarded a $25 PJ's Bar & Grill Gift Certificate. *
Name:
Email:
Date of Visit:
Server's Name:
Food/Drink Ordered:
Quality of Service:
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5 - Excellent
4 - Good
3 - Average
2 - Needs Improvement
1 - Poor
Quality of Food:
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5 - Excellent
4 - Good
3 - Average
2 - Needs Improvement
1 - Poor
Overall Cleanliness:
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5 - Excellent
4 - Good
3 - Average
2 - Needs Improvement
1 - Poor
Overall Satisfaction:
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5 - Excellent
4 - Good
3 - Average
2 - Needs Improvement
1 - Poor
Additional Comments:
* All sections must be filled in in order for you to qualify. You will be contacted via phone if you are the winner and you can pick up your gift certificate next time you come to visit us.