Please complete the form below and submit your results. (Entries marked with an asterisk * are mandatory) You must have JavaScript enabled to use this form. Name of Cafe/Restaurant: * City where venue is located: * Date of visit: * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20222023202420252026 Your name, or name of function (Optional): Your email address * In case we need to contact you regarding your rating Your Age * - Select -< 2525 - 3435 - 4445 - 60> 60 How many people at your table: * Please rate the following questions with a value from 1 to 5. How much noise do you like in cafes/restaurants? (1 = A lot, 5 = None) * How much did the level of noise adversely affect your enjoyment of the dining experience? (1 = A lot, 5 = Not at All) * Did you experience any difficulties conversing with other people as a result of noise? (1 = A lot, 5 = Not at All) * How much would your experience of noise in this venue adversely affect your decision to return? (1 = A lot, 5 = Not at All) * How busy was the cafe at the time of your visit? (1 = Almost empty, 5 = Full) * At what level was music playing while you were eating? (1 = Too Loud, 5 = None) * Additional Comments:
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