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Customer Name*: E-Mail*:

Sex: Male Female

Anniversery: (MM/DD/YYYY):

Where can we reach you? Mobile*: Landline:

Your Address*:

Pincode:

Date of Visit (MM/DD/YYYY):

Type of order: Dine in Take Away Delivery Do you like Fast Food? Yes No Which kind of fast food you buy more often? Burger Pizza Sandwiches How often do you visit KFC? Weekly Monthly Fortnightly Do you Find KFC Product Price reasonable? Yes No Do you recommend your friends and family to visit KFC? Yes No Was the Restaurant Clean? Yes No Do you think KFC provides the best fast food? Agree Disagree

Do you think KFC provides neat and clean environment? Agree Disagree Do you think waiting time in KFC is minimum to take the deal? Yes No Do you think KFCs staff takes care of customers? Yes No Do you think KFC provides hygienic food to its customers? Yes No On a scale of 1 to 4, how would you rate KFCs food? (1 excellent ,4 poor) 1 2 3 4 Do you think KFC is a convenient place with respect to time taken to reach there? Yes No Does it provide a better parking facility? Yes No