Dine & Win – Group1

Dine & Win Okami $5000 Cash Lottery Entry Form Thank you for choosing Okami! As a token of our appreciation for your support, we invite you to participate in our Dine & Win promotion, where you have the chance to win an amazing cash prize of $5000! By filling out this entry form, you not only enter the lottery but also provide valuable feedback that helps us enhance your dining experience. It would take a few moments to complete the following form. Before proceeding, please read the Terms and Conditions here. Good luck! Entrants Details Name* First NameLast Name Date of Birth* –Day –MonthYear Email* example@example.com Phone Number* State* Please SelectACTNSWSAQLDVIC Postcode* Back Next Dining Experience Please rate your satisfaction with the following on a scale of 1-5, where 1 means not satisfied at all and 5 means extremely satisfied: Food* 12345 Drinks* 12345 Service* 12345 Ambience* 12345 Overall Experience* 12345 Would you recommend Okami? * YesNo Comments/areas that need improvement (optional): Back Next Marketing Survey Is this your first time dining at Okami?* YesNo How often did you dine with us? * More than once a monthOnce every 1-2 monthsOnce every 3 monthsOnce every 6 monthsOnce a yearOther How did you find us?* Recommendation from friends/familySocial MediaSaw an advertisementOther Where did you see Okami ads? (Check all that apply)* Social media adsGoogle search/map adsOutdoor advertising, e.g. billboards, busNewspapers/magazinesYouTube adsCinema adsMailbox flyersNever see Okami adsOthers Back Next Submission Note: By participating in this survey, you agree to allow Okami to use your feedback and information for research and promotional purposes. Please verify that you are human* Unique Identifier Date –Month –DayYearDate Location Verification* Submit Should be Empty: