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On a scale of 1 (poor) to 5 (excellent), please rate your dining experience:

Food	1   2   3   4   5
Service	1   2   3   4   5
Price/Value	1   2   3   4   5
Atmosphere	1   2   3   4   5
Overall	1   2   3   4   5
Was it a pleasant experience?	YesNoNot sure
How many were seated at your table?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Do they accept reservations?	YesNo
Would you return?	YesNoNot sure
If you ordered wine, what type was it?
Credit cards accepted?	YesNo

Please describe your experience (30 words minimum):

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