Skip to content
Call Us: 01603 897 787
HOME
MENUS
ACCOMMODATION
FUNCTIONS
Room Hire
Weddings
Private Functions
Corporate
Private Parties
CONTACT
BOOK A TABLE
BOOK A TABLE
Feedback Form
Please fill out the form below to leave your feedback on your recent visit to The Black Swan.
*
indicates required
Email Address
*
First Name
*
Last Name
*
Date of visit
*
/
/
( dd / mm / yyyy )
Time of visit
*
Food Selection
*
1
2
3
4
5
6
7
8
9
10
Food Quality
*
1
2
3
4
5
6
7
8
9
10
Value for money
*
1
2
3
4
5
6
7
8
9
10
Service
*
1
2
3
4
5
6
7
8
9
10
Ambience
*
1
2
3
4
5
6
7
8
9
10
Dishes you would like on the menu
*
/* real people should not fill this in and expect good things – do not remove this or risk form bot signups */
