Date of the Visit * MM DD YYYY Time of the Visit * Hour Minute Second AM PM Kitchen Visited * Antelias Central Kitchen Arsal - LACODE Baalbeck - LACODE Dalhamiyeh - LACODE Fakiha - LACODE Hermel - LACODE Kfour Municipality Kitchen LSR Marjeyoun SBT Mhanna Catering - Tyre SBT Community Kitchen - Merouniyeh Kitchen Focal Person * First Name Last Name Name of the Dish * Weight of the Dish * Number of Dishes Prepared * Rate the Appearance * Rate the Taste of the Dish * Was the dish's tempereature above 60°C? * Yes No Surveyor Name * First Name Last Name Any Repeated Issue? * Thank you! Kitchen Survey
