SOUTH AFRICAN EMBASSY IN KUWAIT

CONSULAR AND AGENCY SERVICES

Customer Service Delivery – Feedback Form

We strive to provide effective and efficient service. Please let us know if we are measuring up.

Customer Information (Optional)

Name : Ms / Mrs / Mr : ________________________________________________________________

Address : __________________________________________________________________________

__________________________________________________________________________

E-mail : ___________________________________________________________________________

Service Information

Date of Service : ___________________________________________________________________

Official who assisted you : ____________________________________________________________

Service/s requested : ________________________________________________________________

Service Rating

How satisfied

were you with

Very Satisfied

Satisfied

Neutral

Dissatisfied	Very Dissatisfied

The speed of the service
The accuracy of the information provided

The courteousness of staff
Overall, how satisfied were you with the services
Did the service meet your expectations

Please use the space below for any additional comments and/or suggestions.

Please hand this form in at the Receptions Desk or send it to the following address :

The Corporate Services Manager, PO Box 2262, 40173, Mishref, State of Kuwait

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2012-06-12

Lekganyane, KI : Subdir: Web & Info Management

DIRCO