1. Customer Feedback Form

Hampshire Registration Service

Tell us what you think!

We welcome your comments about the service so we can make sure that it is of the highest quality.

The information you provide will be treated as confidential and is used only for the purpose of statistical analysis and service improvement.

Press the 'done' button at the end to complete the survey. Thank you!

* 1. Registration Office attended

* 2. Staff Contact (if known)?

* 3. Which service did you use?

* 4. How many days did you have to wait for an appointment?

* 5. Were you able to get an appointment when and where you wanted?

* 6. When you arrived for your appointment, were you seen...

* 7. On a scale of 1 - 5 (where 1 = Not at all and 5 = Extremely), how satisfied were you with the service you received?

  1 2 3 4 5
Ease of initial contact with the service (by telephone or in person)
Quality of information provided before your appointment (by telephone, e-mail or our website)
Were our staff polite, helpful and professional
Was the office easy to get to and well signposted
Overall satisfaction

* 8. If you would like a response to any of your feedback please provide your contact details below (otherwise please leave blank)

* 9. From time to time we contact former customers to seek their opinions on proposed changes to the service. If you would like to be consulted in this way please enter your details below (contact would normally be made by e-mail and your details would not be used for any other purpose or passed to any other agency/organisation):