Thank you for visiting a Dixon Foods' McDonald's restaurant.  We always strive to offer the best fast food experience and exceptional service. Please let us know how we did on your last visit, by filling out this short survey.

All personal information is confidential and never shared with other companies other than Dixon Foods.

First Name Last Name:
Address: City:
State: Zip:
Email:    
Restaurant Visited: 
Date & Time of Visit
Month:   Date:  Year: (yyyy) Time:  AM/PM:
Visit Type
Dine In: Carry Out: Drive Thru:
Brief Description of Your Order

Please rate the following on a scale from 1 to 5 (1 being the poorest and 5 being the best)
Cleanliness:
1 2 3 4 5
Friendliness:
1 2 3 4 5
Quality / Freshness of Food :
1 2 3 4 5
Quality of Beverage :
1 2 3 4 5
Wait Time :
1 2 3 4 5
Accuracy of Order:
1 2 3 4 5
Will you visit this store again? Yes No
Additional Comments
 
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