Title Page

  • Conducted on

  • Prepared by

  • Location
  • CEV DAYPART/WEEKPART

  • Question # Question Description

  • DYPT

  • Please select a daypart/weekpart for this visit

  • ⃝ Breakfast Weekday

  • ⃝ Breakfast Weekend

⃝ Lunch Weekday

  • ⃝ Lunch Weekend

  • ⃝ Dinner Weekday

  • ⃝ Dinner Weekend

Points

Response

  • See

  • Time

  • Time of visit completion? (Please select “See Comment” in the time you arrived in the text box below)

CEV DRIVE-THRU

  • CLEAN

  • ⃝ Parking lot not free of debris and litter

  • ⃝ Landscape not free of debris and litter

  • ⃝ Drive-thru not free of debris and litter

  • ⃝ Drive-thru windows were not clean

  • ⃝ Sidewalks not clean

  • ⃝ Trash receptacles overflowing/full

  • ⃝ Menu board not clean

  • ⃝ Customer order display (COD) not clean

  • ⃝ Other

  • ⃝ Corral area not clean

  • ⃝ Containers not covered

  • ⃝ Gates not kept closed

  • ⃝ Excessive trash was visible

  • ⃝ Other

  • ⃝ Employee uniforms were dirty or stained

  • ⃝ Employee uniforms were wrinkled

  • ⃝ Other

  • FRIENDLY

  • ⃝ Order taker was not polite and friendly

  • ⃝ Cashier was not polite and friendly

  • ⃝ Presenter was not polite and friendly

⃝ Employee could not answer questions

  • ⃝ Other

  • ⃝ Cars were not moving

  • ⃝ Second drive-thru lane not open

  • ⃝ Other

  • What was your OEPE time (begins when employee states "Your total is " and ends when the last item is presented to you)?

  • ⃝ 120" or less - 5 pts

  • ⃝ 121”-140” - 4 pts

  • ⃝ 141”-160” - 3 pts

  • ⃝ 161”-180” - 2 pts

  • ⃝ 181”-190” - 1 pt

  • ⃝ 191”or greater - 0 pts

  • ⃝ Order taker/cashier was multitasking

  • ⃝ Presenter was multitasking

  • ⃝ Cars not being pulled forward

  • ⃝ Waiting on product

  • ⃝ My order was not ready when I arrived at the present booth

  • ⃝ Large or complex orders

  • ⃝ Other

ACCURACY AND QUALITY

  • ⃝ Order taker was not ready to take my order

  • ⃝ Order taker did not listen attentively

  • ⃝ Employee(s) interrupted me

  • ⃝ Cashier was not ready to take my money

  • ⃝ Employee(s) did not provide eye contact

  • ⃝ Other

  • SPEED

  • Was your order repeated and verified?

  • ⃝ Order taker did not repeat and verify the entire order

  • ⃝ Cashier did not verify the order

  • ⃝ Presenter did not verify the order

  • ⃝ Other

  • Was the COD operational?

  • ⃝ COD was not functioning properly

  • ⃝ Audio from the COD was not clear

  • ⃝ Other

  • ⃝ Missing sandwich/entrée

  • ⃝ Missing French fries or hash brown

  • ⃝ Missing dessert items

  • ⃝ Missing drink

  • ⃝ Missing dressing or sauces

  • ⃝ Received the wrong sandwich

  • ⃝ Received the wrong drink

  • ⃝ Received the wrong dressing or sauce

  • ⃝ Received the wrong dessert item

  • ⃝ Received a smaller size sandwich or entrée than ordered

  • ⃝ Received a smaller size fry than ordered

  • ⃝ Received a smaller size beverage than ordered

  • ⃝ Received a smaller size dessert than ordered

  • ⃝ Underfilled

  • ⃝ Sandwich or entrée did not have the correct ingredients

  • ⃝ Requested item not available

  • ⃝ Other

  • ⃝ Did not receive any napkins

  • ⃝ Missing straw

  • ⃝ Missing cutlery

  • ⃝ Requested condiments missing

  • ⃝ Other

  • ⃝ Sandwich/entrée was not hot

  • ⃝ Sandwich/entrée was not neat

  • ⃝ Bun was not soft and moist

  • ⃝ Bun/muffin was not properly toasted/steamed

  • ⃝ McGriddle cake was not moist

  • ⃝ Beef/chicken/fish/sausage was not tender and juicy

  • ⃝ Bacon was not crisp

  • ⃝ Eggs were not fluffy and moist

  • ⃝ Sandwich/entrée did not taste good

  • ⃝ Sandwich/entrée ingredient was not fresh

  • ⃝ Other

  • ⃝ Fries/hash brown was not hot

  • ⃝ Fries did not have enough salt

  • ⃝ Fries had too much salt

  • ⃝ Fries/hash brown was not crisp

  • ⃝ Fries/hash brown did not taste good

  • ⃝ Other

  • ⃝ Product was not hot

  • ⃝ Product was not cold

  • ⃝ Product was not fresh

  • ⃝ Product was expired

  • ⃝ Product was not neat

  • ⃝ Drink/dessert did not taste good

  • ⃝ Other

  • Which sandwich/entrée did you order?

  • ⃝ Quarter Pounder with Cheese

  • ⃝ Big Mac

  • ⃝ Double Cheeseburger/McDouble/Cheeseburger/Hamburger

  • ⃝ McNuggets

  • ⃝ Buttermilk Crispy Tenders

  • ⃝ Signature Crafted Grilled Chicken/Signature Crafted Crispy Chicken

  • ⃝ Buttermilk Crispy Chicken

  • ⃝ Grilled Artisan Chicken

  • ⃝ Filet-O-Fish

  • ⃝ Salad

  • ⃝ McMuffin Sandwich

  • ⃝ Biscuit Sandwich

  • ⃝ McGriddle Sandwich

⃝ Big Breakfast/Big Breakfast with Hotcakes

  • ⃝ Hotcakes & Sausage

  • ⃝ Burrito

  • ⃝ Other

  • CEV DINE-IN

  • CLEAN

  • Was the restroom clean, stocked, and in working order?

  • ⃝ Floors were not clean

  • ⃝ Windows were not clean (excluding drive-thru windows)

  • ⃝ Beverage station was not clean

  • ⃝ Tables and seating were not clean

  • ⃝ Playplace was not clean

  • ⃝ Trash receptacles were overflowing/full or not clean

  • ⃝ Visible kitchen areas not clean

  • ⃝ Other

  • ⃝ Walls were not clean

  • ⃝ Floors were not clean

  • ⃝ Sinks/faucets/mirror were not clean

  • ⃝ Toilets were not clean

  • ⃝ Baby changer was not clean

  • ⃝ Restroom was not stocked (i.e., toilet paper, soap, etc)

  • ⃝ Hand dryer not functioning

  • ⃝ Toilets/urinals not functioning

  • ⃝ Trash can overflowing

  • ⃝ Other

  • ⃝ Employee uniforms were dirty or stained

  • ⃝ Employee uniforms were wrinkled

  • ⃝ Other

  • FRIENDLY

  • ⃝ The order taker was not polite and friendly

  • ⃝ The cashier was not polite and friendly

  • ⃝ The presenter was not polite and friendly

  • ⃝ The employee could not answer questions

  • ⃝ Other

  • ⃝ The order taker was not ready to take my order

  • ⃝ The order taker did not listen attentively

  • ⃝ The employee(s) interrupted me

  • ⃝ The cashier was not ready to take my money

  • ⃝ The employee(s) did not provide eye contact

  • ⃝ Other

  • ⃝ The Guest Experience Leader is not present during peak hours

  • ⃝ The Guest Experience Leader is not interacting with guests

  • ⃝ The Guest Experience Leader is not polite and friendly

  • ⃝ The Guest Experience Leader is not providing a farewell

  • ⃝ The Guest Experience Leader is not touching tables

⃝ The Guest Experience Leader could not answer questions

  • ⃝ Other

  • ⃝ The Guest Experience Leader does not consistently check

  • back with guests after delivery of food

  • ⃝ The Guest Experience Leader does not ensure the guest has

  • everything they need

  • ⃝ Other

  • ⃝ The Guest Experience Leader is not wearing the

  • recommended uniform

  • ⃝ The Guest Experience Leader is not wearing a

  • uniform that differentiates them from the Crew

  • ⃝ Other

  • SPEED

  • Was your "Wait Time" 90 seconds or less? (Timing begins when you get in line and ends when you arrive at the order point.)

  • ⃝ Manager not reacting to danger zones

  • ⃝ Side 2 of the prep table is not open when appropriate

  • ⃝ Dedicated fry/hash brown person not positioned when appropriate

  • ⃝ Order taker not in position to take the order

  • ⃝ Order taker not effective

  • ⃝ Extreme high arrival rates

  • ⃝ Large or complex orders caused long order taking times

  • ⃝ Service stock levels are not appropriate

  • ⃝ Not enough order points available

  • ⃝ Other

  • Was your "Service Time" 90 seconds or less? (Timing begins when the receipt prints and ends when the last item is presented to you.)

  • ⃝ Manager not reacting to danger zones

  • ⃝ Side 2 of the prep table is not open when appropriate

  • ⃝ Dedicated fry/hash brown person not positioned when appropriate

  • ⃝ Extreme high arrival rates

  • ⃝ Large or complex orders

  • ⃝ Service stock levels are not appropriate

  • ⃝ Orders served off the monitors too quickly

  • ⃝ Other

  • Was your Fulfillment Time 45 seconds or less? (Timing begins when your your entire order at the table.)

  • ⃝ GEL not available to deliver orders

  • ⃝ Unable to locate table number

  • ⃝ Other

  • Was your order repeated and verified?

ACCURACY AND QUALITY

  • ⃝ The order taker did not repeat and verify the entire order

  • ⃝ The presenter did not verify the order

  • ⃝ Other

  • ⃝ Missing sandwich/entrée

  • ⃝ Missing French fries or hash brown

  • ⃝ Missing dessert items

  • ⃝ Missing drink

  • ⃝ Missing dressing or sauces

  • ⃝ Received the wrong sandwich

  • ⃝ Received the wrong drink

  • ⃝ Received the wrong dressing or sauce

  • ⃝ Received the wrong dessert item

  • ⃝ Received a smaller size sandwich or entrée than ordered

  • ⃝ Received a smaller size fry than ordered

  • ⃝ Received a smaller size beverage than ordered

  • ⃝ Received a smaller size dessert than ordered

  • ⃝ Underfilled

  • ⃝ Sandwich or entrée did not have the correct ingredients

  • ⃝ Requested item not available

  • ⃝ Other

  • ⃝ Napkins not available / did not receive napkins

  • ⃝ Straw not available / did not receive straw

  • ⃝ Missing cutlery

  • ⃝ Requested condiments missing

  • ⃝ Other

  • ⃝ Sandwich/entrée was not hot

  • ⃝ Sandwich/entrée was not neat

  • ⃝ Bun was not soft and moist

  • ⃝ Bun/muffin was not properly toasted/steamed

  • ⃝ McGriddle cake was not moist

  • ⃝ Beef/chicken/fish/sausage was not tender and juicy

  • ⃝ Bacon was not crisp

  • ⃝ Eggs were not fluffy and moist

  • ⃝ Sandwich/entrée did not taste good

  • ⃝ Sandwich/entrée ingredient was not fresh

  • ⃝ Other

  • ⃝ Fries/hash brown was not hot

  • ⃝ Fries did not have enough salt

  • ⃝ Fries had too much salt

  • ⃝ Fries/hash brown was not crisp

  • ⃝ Fries/hash brown did not taste good

  • ⃝ Other

  • ⃝ Product was not hot

  • ⃝ Product was not cold

  • ⃝ Product was not fresh

  • ⃝ Product was expired

  • ⃝ Product was not neat

  • ⃝ Drink/dessert did not taste good

  • ⃝ Other

  • Which sandwich/entrée did you order?

  • ⃝ Quarter Pounder with Cheese

  • ⃝ Big Mac

  • ⃝ Double Cheeseburger/McDouble/Cheeseburger/Hamburger

  • ⃝ McNuggets

  • ⃝ Buttermilk Crispy Tenders

  • ⃝ Signature Crafted Grilled Chicken/Signature Crafted Crispy Chicken

  • ⃝ Buttermilk Crispy Chicken

  • ⃝ Grilled Artisan Chicken

  • ⃝ Filet-O-Fish

  • ⃝ Salad

  • ⃝ McMuffin Sandwich

  • ⃝ Biscuit Sandwich

  • ⃝ McGriddle Sandwich

⃝ Big Breakfast / Big Breakfast with Hotcakes

  • ⃝ Hotcakes & Sausage

  • ⃝ Burrito

  • ⃝ Other

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.