Ministry of Business, Enterprise and Cooperatives (Cooperatives Division)

(Co-operate with us to improve our service)

CUSTOMER FEEDBACK FORM AT REGIONAL COOPERATE CENTRE (RCC)

* are mandatory fields and need to be filled

1. Details of RCC

Customer Feedback Form on the services provided at
Telephone Number

2. Personal Details of person giving feedback

First Name
Last Name

3. Contact Details

Telephone Number
Address
Email Address *

4. Organization

Name of Co-operative Society/Organization

How do you find the services provided by the officers at the Regional Co-operative Centre?

Very Good     Good     Satisfactory     Poor     
Please Specify

5. Problem/ Difficulty

Have you encountered any problem/difficulty at the Regional Co-operative Centre?

Yes     No

If yes, specify the problem/difficulty

6. Solutions

Suggest any probable solution(s) to the problem/difficulty mentioned above. (Please be explicit)

7. Service Appreciation

Which services provided by the RCC have you appreciated?

8. Comments

State any comment/proposition to improve the services provided at the RCC:

Date :