• Phone: 504-218-8967
• Fax: 504-218-8966
• Website: www.chopsbistroandmartinibar.com
• Email: info@chopsbistroandmartinibar.com or feedback@chopsbistroandmartinibar.com

• General Manager - Charles Weber
• Sales & Events Manager - Jenny Buller
• Asst. Manager - Dat Tran

At Chops Bistro and Martini Bar we welcome your feedback. We hope that your visits are always pleasant and you have a memorable time. Please take a moment to tell us how we are doing.

1. First Name:
2. Last Name:
3. Email:
4. Mailing Address:
5. Phone:
6. How should we contact you:

   E-Mail US Post Phone
7. How did you hear about us:
8. Date of visit:
9. Which meal:

   Dinner Lunch

Please rank the following areas based on your dining experience:

	Superior	Very Good	Good	Fair	Poor
Atmosphere
Price
Service
Value
Cleanliness

1. What did you like the most:
2. What did you like the least:
3. Do you plan to return:

   Yes No
4. Additional comments:
5. Would you like to be added to the Chops Bistro and Martini Bar mailing list: