Jose's Fine Dining™ Questionnaire

In order to better serve our customers, we are looking for new restaurant opportunities. Please take a moment to let us know about your food preferences. We will then e-mail you a coupon worth $10 off your next meal as a thank you.

Dining Preferences

How often do you currently dine out each week? Once Twice Three or more times

Which type(s) of food do you like to eat?
Italian
Mexican
German
French
Eastern European

Additional Information

What determines your restaurant selection?


Please make other comments below.



Thanks for your input.