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                                    | New 
                                        Samsi Restaurant Manchester - submit a 
                                        review |  
                                    | Please 
                                      provide us with details so we can reply 
                                      to you (if need be)... |  
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                                      note, we hate spam as much as anyone, and 
                                      we promise not to pass your details on to 
                                      anybody other than, with your permission, 
                                      the restaurant you are reviewing... |  
                                  
                                    | Please 
                                      provide us with details of the restaurant 
                                      you visited... |  
                                   
                                    | ~ 
                                        Food ~ |   
                                    | ~ 
                                        1 ~ 
                                        What was your main dish?: |  |   
                                    | ~ 
                                        2 ~ 
                                        How would you rate the taste & quality 
                                        of the food?: |  |   
                                    | ~ 
                                        3 ~ 
                                        How would you rate the presentation of 
                                        the food?: |  |  
                                  
                                    | ~ 
                                      4 ~ 
                                      Please leave a few short comments about 
                                      the food for others to read. |  
                                    | 
                                        
                                       |  
                                   
                                    | ~ 
                                        Price ~ |   
                                    | ~ 
                                        1 ~ How would you describe the 
                                        price of the food?: |  |   
                                    | ~ 
                                        2 ~ How would you describe the 
                                        price of the drinks?: |  |  
                                  
                                    | ~ 
                                      3 ~ 
                                      Please leave a few short comments about 
                                      the price for others to read. |  
                                    | 
                                        
                                       |  
                                   
                                    | ~ 
                                        Service ~ |   
                                    | ~ 
                                        1 ~ What 
                                        was your waiter's name (If you can 
                                        remember) ?: |  |   
                                    | ~ 
                                        2 ~ How would you describe the 
                                        efficiency of the service?: |  |   
                                    | ~ 
                                        3 ~ How would you describe the 
                                        friendliness of the service?: |  |  
                                  
                                    | ~ 
                                      4 ~ 
                                      Please leave a few short comments about 
                                      the service for others to read. |  
                                    | 
                                        
                                       |  
                                   
                                    | ~ 
                                        Ambience / Atmosphere / Decor ~ |   
                                    | ~ 
                                        1 ~ How would you rate the decor?: |  |   
                                    | ~ 
                                        2 ~ How would you rate the ambience/atmosphere?: |  |  
                                  
                                    | ~ 
                                      3 ~ 
                                      Please leave a few short comments about 
                                      the decor & ambience for others to read. |  
                                    | 
                                        
                                       |  
                                   
                                    | ~ 
                                        Overall ~ |   
                                    | ~ 
                                        1 ~ How many marks out of 5 would 
                                        you give?: |  |  
                                  
                                    | ~ 
                                      2 ~ 
                                      Please leave a few short comments about 
                                      your experience that you may have not already 
                                      covered |  
                                    | 
                                        
                                       |  
                                  
                                    | After 
                                      you send this form, Restaurants Of Manchester 
                                      will post your comments online as quickly 
                                      as possible. If you gave permission, you 
                                      may also hear from the restaurant for more 
                                      feedback about the review. |  
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