We will send you a free bowl FOR YOUR BIRTHDAY as a token of our appreciation for filling out this online comment card.  This data will help us improve overall customer satisfaction here at Genghis Grill. THANK YOU!*

**First Name:

**Last Name:

**Email:

**Confirm Email:

**Birth date

Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Address:

City, State, **Zip

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

**Location Visited

Select Location Addison, TX-4201 Beltline Rd. 75001Albuquerque, NM-4410 The 25 Way NE. (I-25 & Jefferson) 87109Arlington, TX-4000 Five Points Blvd. Suite 189 76018Cedar Rapids, IA - 5001 1st Ave SE, Ste. 101Cedar Rapids, IA-2230 Edgewood Rd. SW 52404Chattanooga, TN-138 Market St. 37402Clearlake, TX 510 W Bay Area BlvdDallas, TX-10220 Technology Blvd. E (NW Hwy and I-35) 75220DALLAS, TX-4140 LEMMON AVE. Ste. 134 (DALLAS-UPTOWN) 75219Dallas, TX-5500 Greenville Ave. (Lovers and Greenville) 75206Duncanville, TX - 150 E. Highway 67 Ste.100Eagan, MN-1304 Town Center Dr 55123EllisVille, MO - 15819 Fountain Plaza Dr.Fort Worth, TX-4469 Bryant Irvin Rd. (Bryant Irvin and I-20)Fort Worth, TX-6600 N. Freeway #144 (Fossil Creek)Franklin, TN-600B Frazier Dr. Suite 140 37067Frisco, TX-3211 Preston Rd. Suite #3 75034Galleria - Dallas, TX - 13350 Dallas Pkwy Suite #950Garland, TX - 215 Coneflower Dr.Georgetown, TX - 1019 W. University Ave.Grand Junction, CO-2474-C Hwy 6 & 15 81505Harker Heights, - 201 East Central Tx ExpwyHendersonville, TN-1050 Glenbrook Way, Suite 320 37075Houston, TX-9766 Katy Freeway (I-10 and Bunker Hill)Hurst, TX-1101 Melbourne Rd. Suite 6220 76053Kansas City, MO - 1345 Main St.Little Rock, AR-12318 Chenal Pkwy 72211McKinney, TX-1920 Eldorado Pkwy Suite 400 75069Plano, TX-921 N. Central Expressway 75075Rockwall, TX-1699 Laguna Dr. 75087San Antonio, TX - 8603 State Highway 151, Ste. 109San Antonio, TX-1903 N. Loop 1604E Suite 1106 78259San Antonio, TX-8214 Agora Pkwy (The Forum)Sparks, NV-89436 - 121 Los Altos Pkwy; Unit #107Tempe, AZ-2000 East Rio Salado Pkwy Suite 1151testThe Woodlands, TX-9300 Six Pines Drive Suite 100ATulsa, OK - 1617 EAST 15th StreetWheaton, IL-106 N. Hale St., 60187Wichita, KS, - 111 S Rock Rd

Date Visited:

  Select Month   January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2006 2007 2008

**Visited for:

Lunch Dinner

Visit Frequency:

  Select Frequency   First Visit   Weekly Monthly Yearly

Evaluation

YES

NO

1.  Were you greeted promptly at the door?

2.  Is our atmosphere LIVELY?

3.  Khan's Kitchen (Food Bar) and Grill:

Clean?

Fresh and Stocked?

Did our Grill Masters cook your bowl properly?

4.Service:

Was the server friendly?

Was the server prompt?

Were the Grill Masters fun to watch?

5.  Is Genghis Grill a good overall value?

What are the two main reasons why you would visit Genghis Grill Again?

 Food    Service    Atmosphere/Concept  
 Value    Other

What can we do to enhance your overall
experience at Genghis Grill?

How did you hear about Genghis Grill?

* By providing the above pertinent information, you will be enrolled in Genghis Grill's loyalty program - KHANS KLUB. Only one free bowl per person, per year. Some restrictions may apply. Only at participating Genghis Grill locations. KHANS KLUB member must provide ALL THE REQUIRED FIELDS in order to receive a free bowl. A valid identification must be provided at the time of redemption.(i.e. driver license)

PRIVACY POLICY

Genghis Grill respects your privacy. All information is kept by Genghis Grill and used for Limited Loyalty purposes only. Information is not sold, traded or given to any other entities. We will provide you with notice if our privacy policy changes. An opportunity to reject such changes will be provided. We use safe, secure technology and other privacy protection programs to store your personal information.  

Please direct any other comments, suggestion, and questions to info@genghisgrill.com.