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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?
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Bloomington, Illinois (Washington St.)
Bloomington, Illinois (Market St.)
Champaign, Illinois (Sixth St.)
Champaign, Illinois (Glen Park Dr.)
Chicago, Illinois (Madison)
Chicago, Illinois (Halsted)
Normal, Illinois
Peoria, Illinois
Springfield, Illinois
Indianapolis, Indiana (US Highway 31)
Indianapolis, Indiana (Broad Ripple)
Indianapolis, Indiana (Michigan Rd.)
Indianapolis, Indiana (Layfayette Rd.)
Lafayette, Indiana
Muncie, Indiana
Louisville, Kentucky
Columbus, Ohio
Madison, Wisconsin (Washington)
Madison, Wisconsin (Gammon Rd.)
Monona, Wisconsin
*
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: