Thank you for filling out our survey! Be sure to include a valid email address so we can contact you if you are randomly selected to win a $20 gift certificate!

Name Email address Date of visit to George Henry's
Please rate your food on a scale of 1-10 (10 being the best score possible) 1 2 3 4 5 6 7 8 9 10
Please rate your service on a scale of 1-10 (10 being the best score possible) 1 2 3 4 5 6 7 8 9 10
Please rate your overall experience on a scale of 1-10 (10 being the best score possible) 1 2 3 4 5 6 7 8 9 10
Comments (what did we do well, what can we improve upon, will you be back, etc.)