Your Details
Title:	Mr. Mrs. Ms.
*Name:
*Email:
Would you like to join Mimi's Club?	Yes   No
Your Experience
Location:	Kelowna, BC
Server's Name:
Date of Visit:
was this your first visit?	Yes   No
Were you warmly greeted?	Yes   No
Were you seated in a timely fashion?	Yes   No
Quality of food?	1 2 3 4 5 6 7 8 (8 being excellent)
Quality of service?	1 2 3 4 5 6 7 8 (8 being excellent)
The atmosphere?	1 2 3 4 5 6 7 8 (8 being excellent)
The overall experience?	1 2 3 4 5 6 7 8 (8 being excellent)
Comments:

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