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First Name*
Last Name*
E-mail
Mobile*
Date of Birth*
Day
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Month
Jan
Feb
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Apr
May
Jun
Jul
Aug
Sep
Oct
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Dec
Postcode*
Company
Why do you love The Butler
The View
Food
Cocktails
Wine List
Service
Location
Do you have a favourite dish or cocktail
Favourite memory at The Butler
How do you view The Butler
Everyday dining venue
Special occasion venue
Event venue
Date spot
How often do you dine with us
More than once a week
2+ times a month
Once every 3 months
Once every 6 months
Once a year
5+ times a year
Other
Other
Who do you visit with
Work colleagues
Friends
Family
Partner
How did you hear about us
Facebook
Instagram
Website
Google
Word of Mouth
The Urban List
Broadsheet
Attended an event
Other
Other
Approx. how long have you been following us
5+ years (since the beginning)
3-4 years
1-2 years
6 months
1 month
1 week
Other
How would you rate us (10 being the best!)
10
9
8
7
6
5
4
3
2
1
How could we improve
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