Customer Satisfaction form

Dear Sir / Madam,
As part of the BMSR Quality Management System, you are kindly requested to provide us with feedback on the service you have been provided. Please note that all feedback are anonymous and are very important to BMSR for providing an efficient service and continuously improve ourselves.
Kindly rate each question by ticking the appropriate column.

Q.1-4 rating:
1 – Very dissatisfied, 2 – Not satisfied, 3 – Neutral, 4 – Satisfied, 5 - Very satisfied.

Q.5-10 rating:
1 – Never, 2 – Rarely, 3 – Sometimes, 4 Very Often, 5 – Always.

Q.11 rating:
1 – Never resolved, 2 – In a week, 3 – In 2-3 days, 4 – Same day, 5 – Immediately.

Please write in English language.