We thank you for dining at Buckalew's. We are commited to making your dining experience enjoyable and satisfying. In appreciation for your help, you'll be entered in our drawing for a $25 gift certificate.
    
Survey
Contact Information
Name:
Street:
City:
State/Province:
Zip/Postal Code:
Phone:
Email:

Requested Information
How did you hear about us?
Is this your first time at Buckalew's?
Joined us for:
What was your server's name?
Was your server attentive and curtious?
Would you request this server again?
How was your meal?
Did the manager stop by?
How was your overall dining experience?
Will you recommend Buckalew's to a friend?
Something you would like to see on the menu
What can we do better?