HAV

Restaurant Survey

Please note - for the purposes of this survey the terms vegetarian and vegan are defined as follows:

Vegetarian: one who does not consume meat, including beef, pork, chicken, fish, shellfish but may consume milk, milk products and/or eggs.
Vegan: one who does not consume any products derived from animals including meat, milk, milk derived products such as whey, casein, cheese, eggs, honey, gelatin, animal fats such as lard.

Type of Entry
Restaurant Name
Street
City
Postal Code
Phone
Fax
Email Address
Web Site Address
Restaurant Type
Non-smoking
Description or
Special features
(example of dishes,
view, music, decor)
Formality
Days and Hours of operation
 
Meals Served    
Breakfast
Lunch
Dinner
Sunday Brunch
Open 24 hours
 
Type of Service
Take-out Available
Reservations
 
Does your restaurant provide any food suitable for:    
Vegans
Does the menu clearly indicate which items are vegan?
Do you have any appetizers suitable for vegans?
Please list some
Do you have any entrees suitable for vegans?
Please list some
Do you have any desserts suitable for vegans?
Please list some
Are you able to make special vegan orders?
Comments:
 
Does your restaurant provide any food suitable for:    
Vegetarians
Does the menu clearly indicate which items are vegetarian?
Do you have any appetizers suitable for vegetarians?
Please list some
Do you have any entrees suitable for vegetarians?
Please list some
Do you have any desserts suitable for vegetarians?
Please list some
Are you able to make special vegetarian orders?
Comments:
 
Beverages    
Fresh Juices
Espresso/Cappuccino
Smoothies
Soy Milk
Non-alcoholic Beer/Wine/Cocktails
Licensed
 
Does the bread/buns/flatbread your restaurant serves contain:    
Honey
Eggs
Dairy
 
Does your restaurant use:    
butter
margarine, if yes, does it contain:
whey
gelatin
 
Do you use a separate grill for vegetarian/vegan entrees?    

 
Do you serve pasta that contains eggs or dairy?    

 
Credit Cards    
Mastercard
Visa
American Express
Discover
Diners Club
Debit
 
Average Cost
Additional Notes