Customer Feedback

Extreme Pita is only as good as its customers. Your comments, concerns and suggestions help us in our quest to provide a continuous positive pita experience.

Please fill out the form below.

* Denotes required fields.


Extreme Pita Location:
Server Name:
Date:
Late Evening
 
How do you rate our service? (Please check appropriate box)
  Excellent Good Average Disappointing
Friendly
Attentive
Prompt
Informed
 
How would you rate the following? (Please check appropriate box)
  Excellent Good Average Disappointing
Cleanliness
Food Quality
Value
Atmosphere
 
How often do you visit Extreme Pita?
 
Comments:

Personal Information:

To help maintain a high level of customer satisfaction, we require the following fields be completed. You could be contacted by an Extreme Pita head office representative regarding your feedback.
 
First Name *:
 
Last Name *:
 
Email *:
   
     
Telephone:
 
Address *:
City *:
 
 
 Province / State *:
Postal Code/Zip Code *: