Dining Excellence • Neighborhood Involvement		  
 
Customer Feedback



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I visited the
Applebee's in:
 
(If the Applebee’s visited does not appear on this list
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Type of feedback:  
Type of visit: Dine In To Go Carside  
Date of visit:   (mm/dd/yy) Time of visit:  
Feedback:  
If known, please enter the name of server
If known, please enter the name of manager on duty
If your party dined in the restaurant, did the manager on duty visit your table? Yes   No  
Your contact information
First Name   Last Name  
Address 1   Address 2
City   State  
Zip   Email
Phone ()  
Extension

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