*Enter Your Email

*Do you have an Hbc rewards card?

Yes

No

*Do you eat at the restaurant for:

Breakfast

Lunch

Dinner

*How many times per month do you eat at the restaurant?

Less than 3

3 - 5

5+

*Do you have any children living at home? If yes what are their ages?

Under 3

3 - 12

12+

I have no children living at home.

Your Age

Your Birthday

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1. Are you 55 or over?

Yes

No

2. What province/region do you live in? 3. Your email address 4. Have you ever ordered from our Seniors Value Menu?

Yes

No

5. What's your favourite Seniors Value Menu item?

Pork Sausage Dinner

Filet of Sole Dinner

Hot Hamburger Dinner

Hot Chicken Dinner

Western Denver Sandwich

Smoked Meat Sandwich and French Fries

Breaded Filet of Sole Dinner

Hot Chicken Sandwich Dinner

Spaghetti with Meat Sauce

Western Denver Sandwich

6. What new Seniors Value Menu item would you order?

Chicken Finger Wrap w/ side salad

Turkey Cutlet Parmesan with mashed potatoes and vegetables

Turkey cutlet topped with tomato sauce and melted parmesan cheese

Quarter Roast Chicken with mashed potatoes and vegetables

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