Restaurant Level Guest Recovery Survey
General Information
Manager's Name
*
First Name
Last Name
In what area is the restaurant located?
*
Beloit area
Rockford area
Huntley area
Beloit restaurant
*
Please Select
94 - Madison Road Beloit
3777 - Burlington
6708 - Prairie Beloit
7052 - State St Beloit
15760 - Elkhorn
18383 - Waterford
24666 - Center - Janesville
29838 - Hwy 75 S. Beloit
31419 - Milwaukee Rd Beloit
38131 - Rockton
Rockford restaurant
*
Please Select
799 - Freeport North
2504 - State St Belvidere
2648 - Eleventh St Rockford
3717 - Rochelle N 7th St
5836 - Mulford Rd Rockford
6275 - Samuelson Rd Rockford
6370 - Kishwaukee St Rockford
6511 - Auburn St Rockford
6746 - Harrison
7101 - Northridge Dr Rockford
7218 - Belvidere Oasis- Belvidere
8149 - Riverside Rockford
10873 - Freeport South
11286 Perryville Rockford
12512 - Roscoe
12931 - Rochelle 2 Ranger Rd
16372 - Chrysler Belvidere
16373 - Machesney Park
19324 - Winnebago
20900 - Charles St Rockford
22424 - Jefferson St Rockford
25668 - Loves Park
26289 - Dempster Rockford
30725 - North Main Blvd Rockford
32257 - Stockton
35667 - Byron
Huntley restaurant
*
Please Select
3488 - Woodstock
13650 - Marengo
13651 - Algonquin
14013 - Genoa
19354 - Huntley North
22889 - Carpentersville
25899 - Hampshire
34623 - Huntley South
Date of Complaint
-
Month
-
Day
Year
Date Picker Icon
How was this complaint received?
Please Select
They called the store
Spoke to you in person
The guest texted the google voice number
What was the customer upset about?
What did you do to make the experience better?
Do they want a follow up from the GM, Supervisor, or Corporate?
Yes
No
Which of the following BOG cards do you want to send?
Please Select
Breakfast/Lunch EVM
Small McCafe/Coffee
Happy Meal
Breakfast Sandwich
Lunch Sandwich
Dessert (Cone, Pie, Sundae)
Apple Slices
Small Beverage
Small Fry
Medium Fry
4 Nuggets
Not Specified by Customer
How many are you requesting we send to the guest?
Please Select
1
2
3
4
5
6
7
8
9
10
Back
Next
Store Level Guest Recovery Survey
Guest Information
Guest's Name
*
First Name
Last Name
Address to send letter and BOG cards
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Guest Email Address
SUBMIT FORM
Should be Empty: