Welcome!

At La Mexicana, we are 100% committed to meeting the needs of our guests. In an effort to monitor and improve your dining experience, we invite you to provide feedback on your recent visit.

Please respond to two quick questions that will take you less than 30 seconds to complete.

We appreciate and value your response.

Thank you for your time!

La Mexicana

All fields except check number and phone number are required.

1. Tell us about your dining:

Restaurant:	Select a location La Mexicana
Check number (optional):
Date:

2. Enter your contact details:

First name:
Last name:
Email address:
Confirm email address:
Phone number (optional):

By providing the information above and clicking on the Submit button, you attest that the information is correct and accurate, and you hereby consent and agree to the applicable Terms and the Privacy Policy.