Feedback B

OFFICE OF THE OMBUDSMAN FEEDBACK FORM B

Use this form to send us feedback about our service

Title		Date Of Birth *
First Name *
Surname *
Phone Number*		Mobile Number
Email Address
Profession
Address
ID No./Passport No.
Do you have any disability?
If yes, please specify

If you have already lodged a complaint at our office, please indicate our case reference No.

(i.e C/X/2018, LA/C/X/2018, ROD/C/X/2018)

Where did you first get the info about our service?

Website Spoke to our staff Already knew about the office Other,please specify

  Did you find it easy to make your complaint?

Yes, completely Yes, partly No

  If not, why did you feel it was not easy to make your complaint?

  Did you find the information available in the website useful for you to lodge your complaint?

Yes Yes, partly No

  If not, why did you feel that the information is insufficient?

  Did you receive an acknowledgement for your complaint lodged?

Yes No