Food Survey Form
Menu Date
12/8 - Thu
15/8 - Sun
16/8 - Mon
17/8 -Tue
18/8 - Wed
19/8 - Thu
22/8 - Sun
23/8 - Mon
Nationality
Age
20 - 30
30 - 40
40 - 50
50+
Gender
Male
Female
How often do you eat outside or order food per week?
1 - 2 Times
2 - 5 Times
5+ Times
When eating out, What's the average amount you spend on each meal
(lunch or dinner excluding drink)?
Less than 3KD
3 - 5 KD
5+ KD
Food Experience
Foods You Tasted
Soft Salad
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Chicken Musakhan Rolls
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Chicken Majboos
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Arugula Salad
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Dolma
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Creamy Chicken with Green Bread - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Orzo with Chicken Mixture with Italian Herbs - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Food Experience
Foods You Tasted
Fattoush Salad
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Vegetable Cannelloni - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Hammour Mutabbaq
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Suggestions
Foods You Tasted
Breeders
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Fattah Salad - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Cheese Samosa
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Meat Majboos
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Soft Salad
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Cow Cheeks - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Meat Broth with Okra
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Lamb Shoulder in Vegetable Tray - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Arugula Salad
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Meat Kebbeh
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Grilled Meat Walls - Chef Sig
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Cow Shaloo With Beetroot Bread
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Chicken Taco
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Meat Taco
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Nachos
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Potato with Meat
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Food Experience
Foods You Tasted
Vegetable Taco
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Shrimp Taco
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Fish Taco
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Foods You Tasted
Potato with Cheese
Have you ever tried this food before?
Yes
No
How does it taste?
Great
Okay
Bad
Didn't Try
Suggestions
Submit Review
Thank you for your feedback
An error occured.
Food Survey Form
Label: Your Field Value
Powered by
Click Ventures
