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Roy Rogers Guest Evaluation Questionnaire At Roy Rogers, we strive to give you the highest quality food and service, which is why your opinion means so much to us. Please fill out and submit this form so that we may continue to serve you better. Please select the location visited: select location Aberdeen, JFK Memorial Hwy PO Box 1137 Alexandria, 8860 Richmond Hwy (Woodlawn) Alexandria, 1506 Belleview Blvd Allentown, 5052 Cetronia Rd PA Turnpike (Exit 32 & 33) Brunswick, 28 Souder Road Cherry Hill, Kresson & Howard Johnson Roads Cincinnati, 474 Roney Lane Clifton Spings, MP 336 Eastbound Rt 96 NY Thruwy Cranbury, RD 2 Box 23 NJ Turnpike Cumberland, 624 Queen City Dr Elverson, PA Turnpike, Milepost 304.8 West; (Exit 22 & 23) Franconia, 7013-F Manchester Lakes Blvd Frederick, 1240 West Patrick Street Frederick, 5622 Buckeystown Pike Frederick, 191 Thomas Johnson Dr Frederick, 1204 E. Patrick St Frederick, 1990 Riverside Way Frederick, 301 Ballenger Center Drive Gaithersburg, 9607 Lost Knife Road Germantown, 12907 Wisteria Drive Hagerstown, 1730 Massey Blvd Hagerstown, 100 North Burhans Blvd Hannacroix, Milepost 127S, NY State Thwy. Leesburg, 540 East Market Street Leesburg, 451 S. King Street Little Falls, Road #3, Route 5S, NY State Thruway, Milepost 210E Manassas Park, 8502 Centreville Rd. Manchester, 394 Tolland Turnpike New York, 401 7th Ave New York, 2 Penn Plaza Level B Newark, 630 JFK Memorial Hwy Newburg, PA Turnpike (Exit 15 & 16) North Stonington, 273 Clarks Falls Road Oceanview, PO Box 87 Garden State Pkwy Pattersonville, MP 168 Westbound NY Thruway Phelps, 1399 Nine Foot Road Pine Beach, 120 Atlantic City Blvd. Plainfield, PA turnpike, Milepost 219.1 East (Exit 15 & 16) Plattekill, 6474 Interstate 887 Ranson, 144 Oak Lee Drive Rochester, PA Turnpike, Milepost 21.7; RD #1 (Exit 2 & 3) Ruby, Milepost 96S, NY State Thwy. Secaucus, PO Box 2301 NJ Turnpike, Milepost 112 Shirley, 17 McGraw St. Solomons Island, 14000 H.G. Truman Drive Somerset, 327 Industrial Park Road (Exit 10 & 11) Sturbridge, Rt. 15 Mashapaug Rd./PO Box 373 Thurmont, 203 Frederick Road Westminster, Six Baltimore Blvd. Woodbridge, Milepost 92.9 North Yardville, NJ Turnpike North Between Exit 7A & 7B Date of Visit Time of Visit Service Name on Badge (if noted) Speed of Service Excellent Good Fair Poor Courtesy of Associate (Friendliness) Excellent Good Fair Poor Associate's appearance Excellent Good Fair Poor Was your order taken promptly ? yes no Quality of Food What did you order ? Did you receive what you ordered ? yes no Was your food the right temperature ? Excellent Good Fair Poor Please rate the overall quality of your food. Excellent Good Fair Poor Do you feel you received a good value for the money ? Excellent Good Fair Poor Cleanliness Was the dining room clean ? Excellent Good Fair Poor Outside Store (sidewalks, parking lot, etc.) Excellent Good Fair Poor Restroom Excellent Good Fair Poor How do we rate compared to other quick service restaurants ? Overall Value Excellent Good Fair Poor Overall Experience Excellent Good Fair Poor How many times have you eaten at Roy Rogers in the last month ? Daily 4 to 6 times per week 1 to 3 times per week 2 to 3 times per month less than once per month this was my first visit What meal time do you visit Roy Rogers most frequently ? Breakfast Lunch Dinner What additional items would you like to see on our menu ? What do you like the most about Roy Rogers ? If you could change one thing about Roy Rogers, it would be ... Other Comments and Suggestions Guest Information Salutation (Mr.) (Mrs.) (Ms.) Name Address City State Zip Phone Email Thank you for visiting us !

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