skip to main content
skip to footer
Menu
Order
Specials
Events
Gallery
Loyal Patrons
Activate Account
Member Login
Survey
Visit Us
My Account
Login
Create an Account
Survey Card
Leave us with some of your Feedback!
Fill out the survey below
Contact Information
Name
Phone
Email
Join our mailing list to receive news and promotions from us?
I would like to receive text alerts with special promotions and important information
Contact Address
Street
City
State/Province
Zip/Postal Code
Visit Information
Date Visited:
‹
April 2020
›
Su
Mo
Tu
We
Th
Fr
Sa
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
Approximate Time of Visit:
Did you visit with:
Choose an option
Your Wife
Girlfriend
Your Husband
Boyfriend
Not so good friend after all
By yourself looking for a new friend
With your parents
With your children
Want us to cover for ya
Other
Are you here because of a promotional program?
Choose an option
Yes
No
If so, which one?
Choose an option
Birthday Club
Other
Are you a returning customer from a specific promotional program?
Rating System
How would you Rate our Service?
Choose an option
5 (Highest)
4
3
2
1 (Lowest)
How would you Rate Our Food?
Choose an option
5 (Highest)
4
3
2
1 (Lowest)
How did you like our Atmosphere?
Choose an option
5 (Highest)
4
3
2
1 (Lowest)
How would you Rate Our Establishment Overall?
Choose an option
5 (Highest)
4
3
2
1 (Lowest)
Additional Information
How often are you a regular customer at Brady's Tavern?
Choose an option
2+ Weekly
1-4x Monthly
1-6x a Year
1st Time!
When is our business birthday with you? (when did you become a customer?)
‹
April 2020
›
Su
Mo
Tu
We
Th
Fr
Sa
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
Additional Information
Notes:
Submit