feedback form template word

RAVI SHANKAR BILOCHI | 2019-08-01 13:44:42


Here few examples for Feedback form template for a different category, if you don't find the example you looking for please mail us at team@fellafeeds.com or comment below we will send you your required form by email  



Hospital Feedback Form 





Front Desk Feedback form template  :


  1. Was the front desk Efficient and Courteous at hospital ?

             > Excellent 

             > Good

             > Average

             > Poor

     

      2.  How was the Information provided at admission ?

           > Excellent

           > Good 

           > Average

           > Poor


     3.  How much time was taken for admission at hospital ?

          > 5-10 mins 

          > 10-15 mins

          > 15-20 mins

          > more than 20 mins


     4. Was the estimate explained well at hospital ?

         > Yes

         > No









Staff experience at the hospital Feedback form template: 


  1. Were there regular visits of the doctor?

> Yes

> No

> Sometimes


       2. Were there periodic briefings on patient health status ?

           > Yes

           > No

           > Sometimes


      



3. Was the nurse prompt and courteous to your call ?

          > Always 

          > Sometimes

          > Never

      

        4. Were there timely and efficient implementation of doctor's orders ? 

            > Always 

            > Sometimes

            > Never


        5. Rate the regularity and quality of dietitian 

            О 1

            О 2

            О 3

            О 4 

            Ο 5        






Physiotherapy at the hospital Feedback form template : 


  1. How was the Explanation of your treatment at hospital ?

> Excellent

> Good

> Average

>  Poor


      2.  Your satisfaction with physiotherapy treatment at hospital 

           > Excellent

           > Good

           > Average

           > Poor


    3. How efficient was the sample collection at hospital ? 

        > Excellent

        > Good

        > Average

        > Poor






    4. Opinion about the timely delivery and accuracy of reports at hospital 

        > Excellent

        > Good

        > Average

        > Poor




Housekeeping and other F&B services at hospital Feedback form template:


  1. Was your room clean and hygienic at hospital ?

> Always

> Sometimes

> Never

  

      2.  Were the washrooms clean at the hospital ?

           > Always

           > Sometimes

           > Never


      3. How was patient's food service in  room ?

          > Excellent

          > Good

          > Average

          > Poor


      4. How was the food in the Cafeteria at the hospital ? 

          > Excellent

          > Good

          > Average

          > Poor







  Additional services at the hospital Feedback form template:

         

  1. Courtesy/Assistance of security personnel at hospital 

          > Excellent

          > Good

          > Average

          > Poor

    

      2. Car parking services at hospital 

          > Excellent

          > Good

          > Average

          > Poor


      3. Timely information regarding outstanding bill at hospital ? 

          > Yes

          > No


   4. Was there satisfactory help regarding billing queries at front desk ?

       > Yes

       > No







Discharge Process at the hospital Feedback form template:

      

  1. Time taken for discharge at hospital ?

> 5-10 mins

> 10-15 mins

> 15-20 mins

> more than 20 mins


      2.  Were the Discharge instructions well explained at hospital ?  

           >Yes

           >No


     3. Was the person at the desk helpful during the discharge process ?

         > Yes

         > No




Comments/Suggestions at the hospital :

    

      Are there any comments or suggestions you want to mention ?




Overall rating of the hospital Feedback form template :

 

       Overall ratings of the hospital 

            О 1

            О 2

            О 3

            О 4 

            Ο 5  

            О 6

            О 7

            О 8

            О 9

            Ο 10    

Additional information :

       

  1. How did you come to know about  (name)Hospital ?


            О Print media

            Ο Friend/Relative           

            О Website

            О My doctor           

            О Walk-in 

            О Television

            

     Any other : Please specify -




Thank You For Giving Valuable Feedback :

Please provide your contact details . we promise to keep your identity strictly confidential 






 Name: 

Contact Number :

Email ID : 





This feedback has been filled by : 

◻️ Patient

◻️ Attendant

 

 

 

 

Customer Gratification Survey 



  1. Overall satisfaction of service 


Very satisfied

Satisfied

Neutral

Unsatisfied 

Very unsatisfied

Friendliness

О

О

О

О

О

Knowledge

О

О

О

О

О

Quickness

О

О

О

О

О

 

      2.  Would you use our customer service in future?

            >Yes

            >No

            >Maybe



     3. How can we improve our service ? 

      > 

 

 

     

 

 

Event Feedback form template and sample feedback form  



  1. Which event did you attend ? 

> Celebration

> Conference

> reunion

> Education 

> Seminar

> Product launch 



      2. Overall how much entertaining was the event :

                        1     2    3    4    5    6    7    8    9    10

          Boring   О     О   О   О   О    О   О   О   О    О  Fantastic


     

    

      3. What was the single best part of the event ? 

         >speakers

         >




     4. Would you recommend a similar event to a friend ? 

        >Yes,definitely 

        >Maybe, if the content was changed 

        >Maybe, if it was cheaper

        >No,never



The presenters:

Evaluate presenters if the meet the criteria below -       

PRESENTER 01 :

             


Not at all

Not really 

Somewhat

Mostly 

Definitely  

Interesting

О

О

О

О

О

Relevant to you

О

О

О

О

О

Inspiring 

О

О

О

О

О

PRESENTER O2:

          


Not at all

Not really 

Somewhat

Mostly 

Definitely  

Interesting

О

О

О

О

О

Relevant to you

О

О

О

О

О

Inspiring 

О

О

О

О

О



Venue:


  1. Overall were you satisfied with the venue and were you able to see and hear the presentations clearly ? 

>Yes

>No


        2. What problems did you encounter ? 

            > 


     3. How was the quality of food ? 

                        1     2    3    4    5    6    7    8    9    10

          Terrible   О     О   О   О   О    О   О   О   О    О  Great



      4. Was there a large enough selection of food ? 

        >Heaps of choice

        > An adequate range

        >Some choice, but now what i wanted 

        >Not enough



   5. In your opinion,what is the most important feature we should look for when choosing a         venue ? 


   6. Any other suggestions/comments ? 

       Contact details : 


Name :

Phone no. :

Email id : 

Feedback Form 

We would love to hear your thoughts, concerns or problems with anything you can improve!





Type 2 Event Feedback form template and sample feedback form



Feedback Type

 О Comments                                            ОBug Reports                                 ОQuestions



Describe Feedback : 




Name :



Email-id : 






FOR Retail Outlet 



How did you hear from us?

Facebook/Instagram

Website

SMS

Word of mouth

General Walk-In

How was your overall experience?

How to help full our staff was during shopping?

Compared to similar stores, how broad is the selection available at this store?    

Compared to similar stores, how fair are this store's prices?
























Event Gratification Survey template and sample feedback form

Please take a few moments to complete this survey



  1. Have you attended this event before?

            ОYes 

            ОNo


      2. Overall satisfaction :

        


Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

Overall Satisfaction

О

О

О

О

О

Location 

О

О

О

О

О

Content

О

О

О

О

О

Price

О

О

О

О

О

Speakers

О

О

О

О

О

Organisation

О

О

О

О

О



       3. How can we improve this event ? 

       > 


Submit Survey











Course Instructor Feedback form template and sample feedback form

Fill this form with honesty 


Students ID : 


Student E -mail : 


Course : 


Instructor Name : 


Instructor Feedback : 



Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Receive syllabus & instructions at first 

О

О

О

О

О

Course objectives states clearly

О

О

О

О

О

Material present in class matches syllabus 

О

О

О

О

О

Instructor responded questions

О

О

О

О

О

Instructor demonstrates adequate knowledge of course

О

О

О

О

О

Instructor uses appropriate teaching methods 

О

О

О

О

О

Instructor returns papers and test promptly 

О

О

О

О

О

Class time used is efficient 

О

О

О

О

О

Instructor is helpful

О

О

О

О

О

Instructor is well prepared 

О

О

О

О

О

Instructor’s overall teaching 

О

О

О

О

О

Recommend the class

О

О

О

О

О










                                      

Restaurant  Feedback form template and sample feedback form

Please let us know how was the food and facilities


Day Visited :


Dine in / Take out :            О Dine in

                                          О Take out


Food Quality :                    О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Cleanliness :                     О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Order accuracy :               О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Speed of service :             О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Value :                               О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Overall experience :          О Excellent

                                          О Good

                                      О Average

                                          О Dissatisfied


Suggestions/Complaints (if any) :


Name(optional):                                    Age:                       Email(optional):

Patient Contentment Survey

Please take a few minutes to complete this survey 








Hospital or clinic  Feedback form template and sample feedback form


Name of patient : 


Gender :         О M

                       О F

                       О Any other


Birth Date :  


Overall Satisfaction : 


  


Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

Doctor Knowledge 

О

О

О

О

О

Doctor Kindness

О

О

О

О

О

Nurse Patience

О

О

О

О

О

Nurse Knowledge

О

О

О

О

О

Waiting Time

О

О

О

О

О

Hygiene 

О

О

О

О

О



How can we improve our service ? 




Submit Survey








Employee Complaint/ Feedback form template and sample feedback form



Elaborate us what happened in the form below 





Company Name : 


Name of employee : 


Date of complaint : 


Supervisor’s name : 




Describe accurately the details of your complaint and against whom : 





Describe how the incident you are complaining about has impacted negatively on your work :





Describe how the company can deal effectively with your complaint : 




Give additional comments which you believe will be important during further investigations of your complaint : 




Supervisor’s comments : 


By signing you declare that all information you have given here is truthful and accurate 

                                                                                                                                  

 SIGNATURE: 




Submit Survey






Website survey questionnaire template and sample feedback form


Thank You for taking the time to answer these questions. The following questions are about to know how well known and successful is ( site name )



  1. Have you ever heard about (sitename) ? 

            О Yes

            О No


      2.  How did you learn about ( site name ) ? 



      3. Do you purchase goods from ( site name ) ? 

          ОYes

          ОNo


      4. How old are you ? 

          О Under 18

          О 18-25

          О 25-45

          О 45 or more


      5. Gender : 

          О Male

          О Female

          О Any other 


      6. How often do you visit our website ? 



      7. Overall, how satisfied with our website ? 

          О Very satisfied

          О Satisfied 

          О Unsatisfied

          О Very unsatisfied


     8. How likely would you be to recommend (your website name) to your friends of colleagues?

          О Highly likely

          О Likely

          О Unlikely

          О Highly unlikely

      9. What particular aspect(s) of our website do you like ?



     10. What particular aspect(s) of our website do you dislike ?



     11. What factors motivated you to purchase on our site ? 



     12. Why do you think our site is so successful ? 



     13. What is the main reason you visit our website ?



     14. How easy it is to navigate our website ? 



     15. How often do you buy on our website ?



     16. Was this a personal purchase for you, a gift , a company purchase or something else ?



     17. How do you pay for your purchase ?

           О Credit card online

           О Cheque by mail

           О Net Banking 

           О Bhim/upi

           О Paytm/paypal/phonepay

           О Others


      18. How satisfied were you with the available shipping option ? 

            О Excellent

            О Good

            О Average

            О Dissatisfied


       

19.  Was you order complete when you received it ? 

             О Yes

             О No


       20. `Did you return any items you purchased from us ? 

              О Yes

              О No


       21. What was the main reason for your return ? 

              О Wrong size

              О Wrong colour

              О Not what i ordered

              О Damaged

              О Not satisfied with the item 

              О Any other reason(s)


       22. How satisfied were you with the return process ? 

             О Very satisfied

             О Satisfied

             О Unsatisfied

             О Very unsatisfied


       23.  Rank what you look for in order of importance when selecting products on (site name)

             


1 Not important

2 Somewhat important

3 Maybe

4  Important

5 Very important

Quality

О

О

О

О

О

Cost

О

О

О

О

О

Quantity

О

О

О

О

О

Brand name

О

О

О

О

О

Familiarity

О

О

О

О

О



        24. How competitive do you find the price on ( site name ) ?


        

        25. Please rate the website on overall content ? 

                       1     2    3    4    5    6    7    8    9    10

          Boring   О     О   О   О   О    О   О   О   О    О  Fantastic



Submit Survey






Restaurant Gratification form template and sample feedback form


Name (optional) :


Email id (optional) :


Location you visited : 


Day visited :                                                                       Time visited : 


Dine in / Take out :  О Dine in 

                                О Take out


Age :




Food quality : 

            О Excellent

            О Good

            О Average

            О Dissatisfied




Overall service quality :

            О Excellent

            О Good

            О Average

            О Dissatisfied




Cleanliness : 

            О Excellent

            О Good

            О Average

            О Dissatisfied




Order Accuracy : 

            О Excellent

            О Good

            О Average

            О Dissatisfied





Speed of service :

            О Excellent

            О Good

            О Average

            О Dissatisfied




Value : 

            О Excellent

            О Good

            О Average

            О Dissatisfied




Overall experience : 

            О Excellent

            О Good

            О Average

            О Dissatisfied




Any comments, questions or suggestions ? 

>


Submit Survey










Product Survey / Feedback form template and sample feedback form


Customer Information 


Customer name : 


Address:  

                      building/flat no. :

                      Street address :

                      Street address (line2) :

                      City :                                  State/province :

                      Postal/Zip code : 


Contact number : 


Email : 


 

How long have you been using this product and why ? 




Write your comments and suggestions about our product in comparison with other competitors ?          



Are you satisfied with our product performance ? share your opinions :




Tell us something about your shopping experiences to buy our product ?               

                       


 

Would you like to continue our product ? If not (why)



What kind of changes would you like to see in our products to enhance your satisfaction levels ? 


 Submit Survey






Training Feedback form template and sample feedback form


Name : 


Training Course : 



Overall, how satisfied were you with the training  : 


Very unsatisfied

Unsatisfied

  Neutral

    Satisfied

Very satisfied

Overall satisfaction 

О

О

О

О

О



Have you attended this meeting before ? 

О Yes

О No


For what reasons did you attend this meeting ? 



How satisfied were you with the following : 



  Very unsatisfied

    Satisfied

      Neutral

  Satisfied

  Very satisfied

Training venue

О

О

О

О

О

Ease of registration

О

О

О

О

О

Date of training

О

О

О

О

О

Quality of presenters

О

О

О

О

О

Quality of food

О

О

О

О

О

Quality of recommendations

О

О

О

О

О

Registration fees

О

О

О

О

О




Would you recommend this training to others ? 

О Yes

О No

Comments (if any) : 







Follow Up Survey Form template and sample feedback form



When did you use our product or service : 


Name of product/service: 


Overall, how satisfied are you with the product or service ?

О Very satisfied

О Satisfied

О Neutral

О Unsatisfied

О Very unsatisfied 

О N/A


Did our product or service meet your expectations ? 

О Yes

О No 


If not , please explain : 



Would you recommend this product / service to a friend ?

О Yes

О No 


If not,please explain :


What aspect of the product or service were you most satisfied by ?

О Quality

О Price

О Customer service

О Installation or first use experience 

О Other

 

Please explain why ? 


Additional Comments : 

   SIGNATURE : 


Submit Survey






Website Survey template and sample feedback form

Please fill in the website survey information 



How did you hear about this website ? 

О Social Media

О Advertising

О Search engine

О Friend

О Other


What browser do you use ? 

О Google Chrome

О Firefox

О IE

О Safari

О Opera


Which device did you use to access the website ? 

О Desktop/ Laptop 

О Pad devices

О Mobile devices


Are you satisfied that you found what you were looking for on the website ? 

О Very satisfied

О Unsatisfied

О Neutral

О Satisfied

О Very satisfied






Name : 


Contact number : 


Email : 



Submit survey






Completion Of Project Report

 

This form should be completed at the end of each semester


Student’s name : 


Student’s email : 


Date Submitted : 



Learning Outcome : 


  1. Increase awareness of strengths and areas of growth :



              Nature of evidence (eg. weblog, journal blog, progress form date etc. )



     2.  Planned and initiated activities :                                              

      

     3. Worked collaboratively with others :


              Nature of evidence (eg. weblog, journal page, form date etc.) 

 


     4. Shown perseverence and commitment :


     5. Engaged with issues of global importance :         


     6. Considered ethical implications : 


     7. Developed new skills : 


               Nature of evidence (eg. weblog, journal page, form date etc.)


   Any other evidence for upload : 



Submit Survey




Demographic Survey 

Please fill out this survey for great research



Gender :                        О Male 

                                      О Female

                                      О Other


Age :                              О 0-17

                                      О 18-24

                                      О 25-34

                                      О 35-44

                                      О 45-54

                                      О 55-64

                                      О 65 or more


Education :                    О Less than HS diploma

                                      О High school

                                      О Some college 

                                      О Bachelor’s degree

                                      О Graduate degree

                          


Household Income :      О 0-2 lacs

                                      О 2-4 lacs

                                      О 4-6 lacs

                                      О 6-8 lacs

                                      О 8-10 lacs

                                      О More than 10 lacs



 Interests :     

          

  Submit Survey







Customer Service Survey

Please take a moment to fill out this survey




Overall satisfaction of service : 



Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

Friendliness

О

О

О

О

О

Knowledge

О

О

О

О

О

Quickness

О

О

О

О

О




Would you use our customer service in india ?

О Yes

О No

О Maybe




What can we do to improve our service ?


Submit Survey







Seminar Feedback form template and sample feedback form

Please take a moment to fill out this survey


Company : 




Occupation :




Was it worth money ? 

О Yes

О No




On an average how would you rate the seminar ? 

О Very Good

О Good

О Neutral

О Bad

О Very bad



 Submit Survey








Net Promoter Score Feedback form template and sample feedback form





How likely are you to recommend our product to a friend or colleague ? 

           

                           1     2     3     4     5     6     7     8     9     10




Very Unlikely      О     О     О     О     О     О     О     О     О      О    Very likely 





Would you buy our product again ? 


О Yes 

О No




How should we improve our product ? 



Any other comments/suggestions : 



Submit Survey







Client Feedback form template and sample feedback form



Client’s full name :          First name :                                    Last name :



Email : 


  1. Your first impression about this company ?

      >


      2.   Do you find our work force technically sound ?

      >


      3.  Does our workforce have good communication skills ?

      >


      4.   How do you find the quality of service provided ?

      >


      5.   Are you kept updated about our company’s happenings ? 

      >


      6.   Does our workforce act pro-actively ?

      > 


      7.   How did you find company’s overall experience ?

      >


      8.   Areas in which we can improve upon ?

      >


       Complaints/Comments (if any):


       Overall Rating On a Scale Of 1 to 5 :

                      1    2    3    4    5

     Not Bad    О   О   О   О    О    Best



Submit Survey





Customer Survey form template and sample feedback form 


How long have you used our product or service ?



Never used

Less than 1 month

1-3 months

3-6 months

6 months- 1 year

More than 1 year

Product/Service usage

О

О

О

О

О

О



How satisfied are you with the product/service ?



Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

Quality

О

О

О

О

О

Price

О

О

О

О

О

Customer Service

О

О

О

О

О

Installation

О

О

О

О

О

First Time Experience

О

О

О

О

О



 What were you most satisfied with ? 

>


 What were you least satisfied with ?

>


Does our product or service meet your expectations ? 

О Yes

О No


Was our staff courteous and attentive ?

О Yes

О No



Additional Comments (if any) :         


   Submit Survey






Support Satisfaction Survey

       Please fill out this support satisfaction survey






Was the support useful ? 

О Very useful

О Useful

О Average

О Not useful

О Not useful at all



How long did it take for the support team to respond to you ?

О 0-10 min

О 10-30 min

О 1-3 hours

О 3-6 hours

О +6 hours



Supporter Qualifications :



Very good 

Good

Average

Poor

Very Poor

Overall Knowledge 

О

О

О

О

О

Solving method

О

О

О

О

О

Clarity

О

О

О

О

О

Friendliness

О

О

О

О

О











Submit Survey








Car Sales Feedback form template and sample feedback form

Please fill out this car sales details form 


Owner Details :

Name :                                              Mobile number :

E-mail :                                       

Location :

Car Make & Model :

Mileage :

VIN :


Exterior Bodywork :

Dents/Scratches & Rust :               О Yes

                                                       О No

Colour :

Any modifications : 


Interior of Car :

Known faults :

Fabric condition :                             О Worn

                                                        О Tear

                                                        О Holes


Type of radio :                                 О Cassette

                                                        О CD

Any modifications : 


Mechanical :

Known faults :

Any modification :


Documentation :

Service History :                             О Yes

                                                       О No


Free of liens/encumbrances:          О Yes

                                                        О No


Has this vehicle sustained accident/vehicle damage ?

О Yes               Amount : 

О No




Number of previous owners :


Other :

Tires that need replacing now or soon :   О Yes                                 Quantity : 

                                                                 О No


Alloy wheel condition :                                О In Good condition

                                                                    О Needs servicing


Windscreen and other glass condition :      О In Good condition

                                                                    О Needs servicing


No. of keys:




Submit Survey








Car Sales Feedback form template and sample feedback form




Customer Name :                                                          Sales Person :

Car Model No. :                                                             Delivery Date :

Contact No. :  

E-mail :



How satisfied are you with the purchase and delivery of your new car at our premises ?

О Excellent                         О Good                     О Average                                  О Poor


How satisfied are you with the punctuality and friendliness of the sales person ?

О Excellent                         О Good                     О Average                                  О Poor


Did you take a test drive ?

О Yes                       О No


With respect with your individual requirements, how satisfied are you with the test drive ?

О Excellent                         О Good                     О Average                                  О Poor


How satisfied are you with the (shop name)financial services options (i.e financing,leasing and/or insurance) ?

О Excellent                         О Good                     О Average                                  О Poor


How satisfied are you with the fulfillment of all the commitments made by the sales person ?

О Excellent                         О Good                     О Average                                  О Poor


Did you get the information about accessories details and availability ?

О Yes                        О No                   







Car Delivery Feedback form template and sample feedback form

 How satisfied are you with our activities to make your car delivery a special affair ?

О Excellent                         О Good                     О Average                                  О Poor


How satisfied are you with the salespersons’ detailed explanation about the operation of car ?

О Excellent                         О Good                     О Average                                  О Poor


Would you recommend us to your friends/colleagues ?

О Yes                        О No        

               

 Any other comments/suggestions : 

Date:                                                                                                 Signature:


Submit Survey




































Car Sales Feedback Form




Customer Name :                                                          Sales Person :

Car Model No. :                                                             Delivery Date :

Contact No. :  

E-mail :



Please rate your SALESPERSON on the following :

The manner in which you were greeted ?

★   ★   ★   ★   ★

Sincerity and honesty in dealing with you 

★   ★   ★   ★   ★

Consideration of your time

★   ★   ★   ★   ★

Ability to listen, understand and answer your questions 

★   ★   ★   ★   ★

Knowledge of the product features and benefits 

★   ★   ★   ★   ★

Fulfillment of all the commitments made to you 

★   ★   ★   ★   ★




Please rate our SALES TEAM on the following :

The vehicle price/payments were discussed in a thorough manner

★   ★   ★   ★   ★

Explanation of warranty services 

★   ★   ★   ★   ★

The professional manner in which you were treated 

★   ★   ★   ★   ★

Fulfilled all the commitments made to you 

★   ★   ★   ★   ★




More about your experience :

If you’ve contacted this store by phone, how satisfied are you with the way your call was handled ?

★   ★   ★   ★   ★


Would you recommend us to your friends/colleagues ?

О Yes                        О No 


Date:                                                                                              Signature:




Office Facilities Feedback Form





How would you rate the Meeting/Boardroom facilities ?

★   ★   ★   ★   ★

How would you rate the Cafeteria facilities ?

★   ★   ★   ★   ★

How would you rate the Restroom facilities ?

★   ★   ★   ★   ★

How would you rate the Parking facilities ?

★   ★   ★   ★   ★




Rate your satisfaction level with the state of office technology ?

О Excellent                         О Good                     О Average                                  О Poor

Rate your satisfaction with the availability of stationery and other amenities at the office ?

О Excellent                         О Good                     О Average                                  О Poor

Rate your satisfaction with the cleanliness and orderliness at the office ?

О Excellent                         О Good                     О Average                                  О Poor

How would you rate the privacy in the office space ?

О Excellent                         О Good                     О Average                                  О Poor




Did any facilities not meet expectations ?

О Office

О Meeting/Board rooms

О Restrooms

О Lounge

О Cafeteria 

О Parking Lot

О Others (please specify)   : 




Are there any facilities that you would like available to you? List them below.

>




Is there anything that can be improved? Comment briefly below.

>





Submit Survey

Airport Feedback Form




Please rate us on the following :

Departure facilities and services >

О Excellent                         О Good                     О Average                                  О Poor


Arrival facilities and services >

О Excellent                         О Good                     О Average                                  О Poor


Airport cleanliness >

О Excellent                         О Good                     О Average                                  О Poor


Friendliness of airport staff >

О Excellent                         О Good                     О Average                                  О Poor


Restroom facilities >

О Excellent                         О Good                     О Average                                  О Poor


Shopping facilities >

О Excellent                         О Good                     О Average                                  О Poor


Food and beverage >

О Excellent                         О Good                     О Average                                  О Poor


Airport security >

О Excellent                         О Good                     О Average                                  О Poor




Personal Details :

First name :                                                          Last name :

Country code :

Country :

Contact details :

E-mail Address :




Any other queries/suggestions :








Submit Survey

Airport Feedback Form




How satisfied were you with the check-in process at the airport ?

О Excellent                         О Good                     О Average                                  О Poor


Are you satisfied with the overall cleanliness at the airport terminals ?

О Excellent                         О Good                     О Average                                  О Poor





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