La Bamba Burritos Survey

While completing this survey, please think about your last visit to a La Bamba Burritos restaurant.

Fields marked with * are required.

What location did you visit?: *
Did you dine in or carry out?: Dine In Carry Out*
Was the restaurant clean?: Yes No
Was the staff friendly?: Yes No
Was the food prepared the way you asked?: Yes No
What was wrong or missing?
Was the price reasonable for the food you ordered?: Yes No
Please provide any suggestions on how we may improve our menu, food, or facilities:
Please provide any additional comments you may have:
Your Name:
Your Phone Number:
Your Phone Number: