Restaurant rating form

2004-2005 Gold-Taste Dining Awards

the practical gourmet®

Healthy dining trends for the affluent traveler™

Gourmet Building • P.O. Box 102 • Middle Island, NY 11953-0102 U.S.A.

Voice: 631/924-8555 • 24/7 Fax: 631/924-3890 E-Mail: PracticalGourmet@att.net

Date:__________________ Second visit_________________________

Restaurant Name:____________________________________________

Type of Cuisine:_____________________________________________

Address:___________________________________________________

City/State/Zip_______________________________________________

Phone/Fax:_________________________________________________

Atmosphere:________________________________________________

Recommended Dishes:________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Price Range: Three course dinner for one person with tax including one drink/tip

oInexpensive: under $15 oModerate: 16 to $30 oModerately expensive: $31 to $50 oExpensive: $51 to $75 oVery expensive: Over $76

Credit Cards: oNone oAll oMastercard oVisa oAmEx oDiners o_________

Hours: i.e. Lunch, _______through________, ____P.M. to ___P.M.; Dinner, ________through__________, ______P.M. to_____P.M. Brunch, _____, ____P.M. to ___P.M. Other:_____________________________________________________

Closed____________________________Open_____________________________

Reservations: oNot accepted oRecommended oNecessary for oLunch oDinner oSun. Brunch oWeekends oGroups of ___ or more. Dress Code______________.

For internal use only

Photos taken by_________________________________________

Roll #______ Frames______/_______/_______/_______/_______

Names L. to R.1.__________________________2.__________________________

3.___________________________________4.____________________________

__oExecutive Chef __oSous Chef __oHead Chef __oLine Chef __oDirector of F&B __oAss't Dir. F&B __oSommelier/Wine Steward __oRestaurant Manager

__oCaptain __oMaître d'hôtel __oHead Waiter __oWaiter__oWaitress__oBusboy

Service: oFair oGood oV. Good oExcellent oOutstanding oImpeccable

Rated __________STARS oBronze oSilver oGold oPlatinum

Have Copy of Menu? oYes oNo Award Winning Wine List? oYes oNo

Check off the ten most popular wines/spirits on the list.

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