Please enable JavaScript in your browser to complete this form.Name *Date of BirthEmail *PhoneAddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code1. Did our Sushi exceed your expectations?YesNo2. Did the showmanship of our hibachi chef exceed your expectations? YesNo3) Was your food prepared and cooked the way you ordered it? YesNo4) Was your table clean along with the silverware, dishes and condiments?YesNo5) How would you rate the quality and freshness of the dinner you received? OutstandingAbove AverageAverageBelow Average6) Is our current menu selection to your liking? OutstandingAbove AverageAverageBelow AverageComments *PhoneSend Message