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Customer Survey Form

Please read the "Personal Information Collection Statement" before submitting the form.

If you have visited any of our Customer Enquiry Centres and wish to give your comments or suggestions on our services, you can complete and submit the Customer Survey Form online.

Alternatively, you can complete a print-out of this form and drop it into the suggestion box at any Customer Enquiry Centre. You may also send this form to the Executive Officer / Management Support by fax or by post.

Email to Water Supplies Department (wsdinfo@wsd.gov.hk)

(Please do NOT use special characters in the textboxes below including & │* ~ < > ^ [ ] { } $ )

*Customer Enquiry Centre Location : Please Select Wan Chai Tai Kok Tsui Shatin Tai Po Tuen Mun

1. The purpose of visiting the Centre:

General Enquiry Service Application Bill Payment Others (please specify) others

2. Satisfaction Rating: (please complete all items)
Items		very satisfied	quite satisfied	average	quite dissatisfied	very dissatisfied
A.	Staff
	*Courtesy	Staff: Courtesy, very satisfied, not checked.	Staff: Courtesy, quite satisfied, not checked.	Staff: Courtesy, average, not checked.	Staff: Courtesy, quite dissatisfied, not checked.	Staff: Courtesy, very dissatisfied, not checked.
	*Proactiveness	Staff: Proactiveness, very satisfied, not checked.	Staff: Proactiveness, quite satisfied, not checked.	Staff: Proactiveness, average, not checked.	Staff: Proactiveness, quite dissatisfied, not checked.	Staff: Proactiveness, very dissatisfied, not checked.
	*Competence	Staff: Competence, very satisfied, not checked.	Staff: Competence, quite satisfied, not checked.	Staff: Competence, average, not checked.	Staff: Competence, quite dissatisfied, not checked.	Staff: Competence, very dissatisfied, not checked.
B.	Time
	*Waiting Time	Time: Waiting Time, very satisfied, not checked.	Time: Waiting Time, quite satisfied, not checked.	Time: Waiting Time, average, not checked.	Time: Waiting Time, quite dissatisfied, not checked.	Time: Waiting Time, very dissatisfied, not checked.
	*Processing Time	Time: Processing Time, very satisfied, not checked.	Time: Processing Time, quite satisfied, not checked.	Time: Processing Time, average, not checked.	Time: Processing Time, quite dissatisfied, not checked.	Time: Processing Time, very dissatisfied, not checked.
C.	Centre Location & Environment
	*Location	Centre Location & Environment: Location, very satisfied, not checked.	Centre Location & Environment: Location, quite satisfied, not checked.	Centre Location & Environment: Location, average, not checked.	Centre Location & Environment: Location, quite dissatisfied, not checked.	Centre Location & Environment: Location, very dissatisfied, not checked.
	*Layout	Centre Location & Environment: Layout, very satisfied, not checked.	Centre Location & Environment: Layout, quite satisfied, not checked.	Centre Location & Environment: Layout, average, not checked.	Centre Location & Environment: Layout, quite dissatisfied, not checked.	Centre Location & Environment: Layout, very dissatisfied, not checked.
	*Cleanliness	Centre Location & Environment: Cleanliness, very satisfied, not checked.	Centre Location & Environment: Cleanliness, quite satisfied, not checked.	Centre Location & Environment: Cleanliness, average, not checked.	Centre Location & Environment: Cleanliness, quite dissatisfied, not checked.	Centre Location & Environment: Cleanliness, very dissatisfied, not checked.

3. Other comments/suggestions:-
Please do NOT input any sensitive data including the HKID No., credit card's information and passwords.

4. You are welcome to provide your information below for further contact or follow-up.
*Name:		Title Mr Mrs Miss Ms
E-mail Address:
*Telephone No.:
Fax No.:
*Correspondence Address:
Customer Type:		Domestic Non-Domestic

*Please enter the characters in the image below:

*Mandatory Field