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2017
March
R
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Name
(custom1)
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Please select the e-Service that you would like to provide feedback on.
e-Service 1
e-Service 2
e-Service 3
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Do you encounter any issue while using our e-Service?
Yes
No
Please describe the issue you had encountered.
What can we improve on, to provide you a better experience?
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How is the
Feature
of our e-Service?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
*
How is the
Look and Feel
of our e-Service?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
How is the
Navigation
of our e-Service?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
What is your
Overall
experience with our e-Service?
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