We value your feedback.  Please fill out our survey form below.  If you would like to 
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For the numbered responses, rate them on a scale of 1 to 5, 5 being the most satisfied.

* Required fields
Name *
E-mail Address *
Phone number
Were you greeted promptly?	1 2 3 4 5
I was pleased with the friendly staff.	1 2 3 4 5
Attention of the server:	1 2 3 4 5
Quality of the food served:	1 2 3 4 5
Quality of specials offered:	1 2 3 4 5
Timing of our food courses:	1 2 3 4 5
Atmosphere:	1 2 3 4 5
Timeliness of drinks served:	1 2 3 4 5
Temperature of food served:	1 2 3 4 5
Overall dining experience:	1 2 3 4 5
Questions/Comments:
I would return to Park Street	Yes No Maybe
How did you hear about us?	Flyer Newspaper Friend Other
My zip code is:
Would you like to receive information concerning special events, private parties, catering, and promotions here at Park Street?	Yes No
May we use your comments along with your first name and initial in our advertising?	Yes No
Name of server:
Any other comments/suggestions?

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