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Annexure II
Opinion Survey Format

Serial No
ParticularsFeed Back

1

Name and address

2

Name of the office you visited

3

Purpose for which you visited the office

4

Whether you contacted the officer directly or any agent or tout or advocate

5

Did you notice the general information necessary for your purpose displayed in the office

6

Is the officer you met courteous / polite / willing to give necessary information to you

7

Was your work done smoothly without any harassment in the office

8

If not, please give the details

9

Please offer any suggestion for the improvement of the performance of the office


Place:                                                                                               Signature:
 
Date:


NOTE

Please send the completely filled format to the next higher officer of the office visited by you.