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Name

Address

City

State

Zip Code

Telephone

E-mail Address

You would consider our FOOD which of the following?

Excellent

Good

Fair

Poor

You would consider our SERVICE which of the following?

Excellent

Good

Fair

Poor

You would consider our CLEANLINESS which of the following?

Excellent

Good

Fair

Poor

Which of the following locations did you visit?

45th & Coulter

2200 S. Ross

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