Customer Survey Form

Please read the "Personal Information Collection Statement" before submitting the form.

If you have visited any of our Customer Enquiry Centres and wish to give your comments or suggestions on the services provided by us, you can complete and submit our Customer Survey Form online.

Alternatively, you can complete a print-out of this form and drop it into the suggestion box at any Customer Enquiry Centre. You may also send this form to Executive Officer / Customer Enquiry by fax or by post.

Email to Water Supplies Department (wsdinfo@wsd.gov.hk)

Customer Enquiry Center Location :

1.	Please tell us the purpose of visiting the centre. General Enquiry Service Application Bill Payment Others (please specify)

2.	Satisfaction Rating (please complete all items)
			very satisfied	quite satisfied	average	quite dissatisfied	very dissatisfied
	A.	Staff
		Courtesy
		Proactiveness
		Competence
	B.	Time
		Waiting Time
		Processing Time
	C.	Centre Location & Environment
		Location
		Layout
		Cleanliness
			very satisfied	quite satisfied	average	quite dissatisfied	very dissatisfied

3.	Other comments/suggestions :-

4.	You are welcome to provide your information below for further contact or follow-up.
	Name:
	Telephone No.:
	E-mail Address:
	Correspondence Address:
	Customer Type:	Domestic Non-Domestic