Comment Card

Your Name
Street Address
Email Address*
Restaurant Location*
Server's Name
Date of Visit*
How was the greeting and welcome you received?
Were the employees friendly?
Was the service prompt?
How was the food quality?
Were the restrooms clean?
Was the dining room clean?
How was your overall dining experience?
Is this your first visit to Valentino's Yes
No
How did you hear about Valentino's TV
Radio
Newspaper
Driving by
Other
Comments or Suggestions
City, State & Zip Code
Confirmation Code:*
Enter the code shown in the box before clicking on submit.

Note: Fields marked by an asterisk (*) are required.