WELCOME TO THE NY CAFE CUSTOMER SURVEY!
The info we collect is for our eyes only, please fill in the contact info so we can send you specials and coupons

 

 

    

Please fill out our survey

General Information: 

First Name:    Last Name: 
Address: 
City:    State:   Zip:   
Telephone:  Work Telephone:   
E-mail:      What Time Do Normally Dine:


TYPE OF MEAL YOU LIKE: 
(optional)
shrimp     Fish   Veal   Steak    Pasta   Pizza


Price Range: 
(optional)
specials only$5-$10 $10-$20 $20-$30 $20-$30 $30+


Check all that you are satisfied with!  (select all that you like)
(optional)
Service food quality price selection atmosphere