Please fill out our 2021 survey below!


* Required fields

First Name:*

Last Name:*

Email:*

Address:*

How many times per month do you dine with us?*

How do you order?*

Any dietary needs?*

Which protein do you prefer?*

Which vegetable do you NOT prefer?*

Which spice do you NOT prefer?*

Any dietary needs?*

Do you prefer chocolate or non-chocolate desserts?*

Do you enjoy a cocktail at dinner?*

Wine preference?*

Beer choices?*


Thank you for your support in 2021! Eddie Bernal and 34th Street Cafe & Santa Rita Teams!!