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Name (custom1)
   
 
 
* Please select the e-Service that you would like to provide feedback on.
 
e-Service 1
 
e-Service 2
 
e-Service 3
 
 
* 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?
   
 
 
* 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?