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INTEGRITY IN SERVICE REPORTING TOOL
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How satisfied are you with the overall service provided?
Please select the option that best represents your satisfaction level.
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
2
Rate the professionalism of the staff on a scale of 1 to 10.
Rate the professionalism of the staff with 1 being the lowest and 10 being the highest.
3
Please provide any additional comments or suggestions for improvement.
Feel free to share any further thoughts or suggestions regarding our services.
4
How likely are you to recommend our services to others?
Indicate how likely you are to recommend our services to others.
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
5
Rate the cleanliness of the facility on a scale of 1 to 10.
Rate the cleanliness of the facility with 1 being the lowest and 10 being the highest.
6
Were you treated with respect and dignity during your visit?
Please indicate if you felt respected and treated with dignity during your visit.
Yes
No
7
How would you rate the accessibility of the services provided?
Provide a rating based on how easily accessible the services were for you.
Excellent
Good
Fair
Poor
Very Poor
8
Do you have any suggestions for improving our service hours?
Feel free to suggest any changes or improvements regarding our service hours.
9
In case of an issue or concern, how would you prefer to have it addressed?
Select your preferred method of addressing any issues or concerns that may arise.
Face-to-face meeting
Phone call
Email
Online form submission
Others
10
Would you like to provide your contact information for further follow-up?
Please indicate if you are willing to provide your contact information for follow-up purposes.
Yes
No
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