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	Send Us Your Feedback · Franchise Inquiry · Privacy Policy Thank you for your patronage! To help us serve you even better, please provide us with some feedback about your experience. Your opinion is important to us and we thank you! Select Restaurant Location: - Greenville, NC 2703 South Main Street High Point - High Point, NC Bear Creek Commons - Mocksville, NC Freestanding - 301 S. Main Street - King - King, NC Freestanding - 4880 Country Club Road - Winston-Salem, NC Granite Town Center - Mt. Airy, NC Harrison Point - Cary, NC New Garden Crossing - Greensboro, NC North Main Crossing - Kernersville, NC North Main Street Market 311 - High Point, NC Olivers Crossing - Winston-Salem, NC Shoppes at Broad Street - Statesville, NC How far from our store do you work? > 1 mile 1-2 miles 2-3 miles 3-5 miles > 5 miles How far from our store do you live? > 1 mile 1-2 miles 2-3 miles 3-5 miles > 5 miles What was the date you visited? ex. 04/15/07 How did you hear about East Coast Wings & Grill? Co-worker Friend/Family Member Drove past restaurant Radio Advertisement Printed Advertisement Television Advertisement Direct Mail Ad/Coupon Dine-In or Take-Out? Dine-In Take-Out What Time of day did you visit? Lunch Mid afternoon Dinner How would you rate us on the following: (4-Excellent, 3-Above Average, 2-Average, 1-Fair, 0-Poor) Food Quality 0 1 2 3 4 Service 0 1 2 3 4 Cleanliness 0 1 2 3 4 Waiting Time 0 1 2 3 4 Menu Variety 0 1 2 3 4 Friendliness 0 1 2 3 4 Atmosphere 0 1 2 3 4 Value 0 1 2 3 4 Including yourself, how many were in your party that visited? 1 2 3 4 5 6 or more In which age group do you belong? 18 - 24 25 - 34 35 - 44 45 - 54 60 & over How often do you visit an East Coast Wings? 1st Visit Less than 1x per month 1 - 3x per month 4 - 8x per month 9 or more x per month If we could have done one thing better, what would it have been? May we add you to our Mailing List? Yes No Your Full Name Address City State Zip Code E-Mail Address Birthday ex. 04/15 Anniversary (If applicable) ex. 06/24