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  • Defamantion FORMATE

    Defamantion Format of a Plaint claiming compensation for Defamantion   Important points to remember- Format of all Civil suits are pretty much the same. They are governed by Order VI (Pleading) and Order VII (Plaint) CPC. Please see this for theory part.Suit for compensation for things like Defamation, Malicious Prosecution can be filed in the court as determined by Section 19 and 20 of CPC. In the Court of Civil Judge Class - I at ---------- Suit No. ………… / 20……. A. B. s/o B. C..........................................  Plaintiff Vs. M. N. s/o O. P..........................................  Respondent Plaint under Order 7 Rule 1 for Compensation for Defamation The plaintiff respectfully states as follows : - Brief Description of the case :(1) The respondent publicly accused the plaintiff of selling watered down milk, which has caused immense harm to the reputation of the plaintiff. The present suit is meant for compensation for the harm done to the plaintiff's reputation. Matters of Inducement: (2) Plaintiff is a milk man and sells milk in many colonies of Indore including MG Road, AB Nagar.(3) Respondent is the president of an informal residents association of MG Road. Facts constituting cause of action: (4) In a residents association meeting held on 10/10/2015, the respondent publicly accused the plaintiff of selling milk mixed with water. A tape record of the respondent making the accusation is attached with this petition.(5) The said speech made by the respondent was heard by hundrends of residents of MG Road, where the plaintiff sells goods.(6)  The said speech has caused the plaintiff a lot of embarrament and loss of business.(7) The plaintiff denies that he sells watered milk and claims that the statement made by the respondent was completely baseless.... Jurisdiction: (10) The meeting where the defamatory statement was made by the respondent happened in Indore, which is under this court's jurisdiction.(11) The plaintiff claims, on account of the loss of business as well as mental agony, an amount of 40,000/- which is under this court's jurisdiction. Relief Claimed:  (12)  The plaintiff prays that the court be pleased to order the respondent to pay sum of Rs 4,00,000 on account of the loss of business because of his baseless and false speech.  The plaintiff further prays that the respondent be ordered to pay compensation for mental harassment and cost of this litigation. Place: ………………….                                                                            (Signature of the plaintiff)Date: …………………..                                                                                                                                                                                                     Advocate for Plaintiff Verification   I, ______, do hereby verify that the contents from paras 1 to 12 are correct and true to the best of my knowledge and personal belief and no part of it is false and nothing material has been concealed therein. Affirmed at Delhi this 4th Day of September 2015. (Signature) Plaintiff  Download Word Document In English. (Rs.15/-) Download Word Document In Marathi. (Rs.20/-)

  • Customer Feedback Survey

    [INSERT CITY]  WASTE PROGRAM CUSTOMER FEEDBACK SURVEY OVERVIEW  [INSERT CITY] ’s Solid Waste Program provides a modern way of recycling garbage and other waste products in the entire community of [INSERT CITY] . This customer feedback survey is intended to all single-family homes, apartments, condominiums, and business establishments within the city. This survey is given to all customers whose names are listed as part of the city’s solid waste program.  PURPOSE  The main purpose of this survey is to ask for feedback from customers of the solid waste program. In addition, the management of the solid waste program will be conducting this survey every [SPECIFY NUMBER OF YEARS]  years.  We highly appreciate your response and feedback for this survey. This is very important to us. The survey result will help us determine key areas of strength and areas that need improvement. INSTRUCTIONS  Unless stated otherwise, when answering please provide only one answer per question. Only use black-colored ball-point pen when answering the survey.       There is a stamped envelope provided with every survey. Please completely fold once you are done and place it inside the envelope, seal it, and send it to [INSERT MAILING ADDRESS] . In the event that you lost the envelope, you may get another one at [INSERT LOCATION]  and send it to the same address mentioned above. In case you have further questions, you may contact [INSERT COMPLETE NAME]  at [INSERT CONTACT NUMBER] , or sent an email at [INSERT EMAIL ADDRESS] .  All answers given by our customers will remain anonymous.  We ask our customers to complete answering the survey and return it on or before [INSERT COMPLETE DATE] .    CUSTOMER SERVICE FEEDBACK  In the past, rate how many times you called customer service at [INSERT CITY] ’s Solid Waste Program?  Haven’t tried calling _______ 1-2 times _____________ 2-3 times _____________ 3-4 times _____________ More than 4 times ________ Below is a ranking scale of 1 - 5. This will determine how satisfied you are with our customer service. If you are not sure or the choices are not applicable, please leave it blank. Very Good Somewhat Good Good Satisfactory Poor 5 4 3 2 1 Staff of [INSERT CITY] Solid Waste Program are always polite and friendly. All staff and management have the ability to answer questions and resolve issues in a timely manner. All staff and management of [INSERT CITY] Solid Waste Program are helpful and polite. THEY ARE VERY RESPONSIVE AND HAVE EXCELLENT CUSTOMER SERVICE THROUGH EMAIL. THEY ARE VERY RESPONSIVE AND HAVE EXCELLENT CUSTOMER SERVICE THROUGH EVERY PHONE CALL. THE HOTLINE NUMBER IS ALWAYS ACTIVE. CUSTOMERS ARE ALWAYS BEING HANDLED ACCORDINGLY. CUSTOMER SERVICE REPRESENTATIVES ARE ALWAYS AVAILABLE 24 HRS. 7 DAYS A WEEK. OVERALL SATISFACTION WITH OUR CUSTOMER SERVICE. CUSTOMER SERVICE COLLECTION   Below is a collection of customer service you received from us, particularly our waste pickup and disposal service. Please rate according to your experience.  Poor _______________ Needs Improvement _______________ Satisfactory _______________ Highly Satisfactory _______________ In the past year, if you have contacted our management for pickup services (whether for waste disposal or pickup of heavy items), please rate if the service performed met your expectations?  Poor _______________ Needs Improvement _______________ Satisfactory _______________ Highly Satisfactory _______________ Below is a ranking scale of 1 - 5. This will determine how satisfied you are with our collection services. If you are not sure or the choices are not applicable, please leave it blank. Very Good Somewhat Good Good  Satisfactory  Poor  5 4 3 2 1 The Waste Disposal Management’s driver is friendly and is always on time. The Waste Disposal Management’s driver drives safely all the time. Right after every waste collection, service area is left clean at all times. Every trash bin and garbage carts are always put back in their original places accordingly. Every yard waste container is always put back in its original place. Should you need further assistance or have further questions, feel free to contact our Head Department and look for [INSERT COMPLETE NAME]  at [INSERT CONTACT NUMBER] , or send an email at [INSERT EMAIL ADDRESS] . The Waste Disposal Team, look forward to serving you even better! [INSERT NAME OF MANAGEMENT] [INSERT DATE] Download Word Document In English. (Rs.40/-)

  • Exit Interview Survey Template

    EXIT INTERVIEW SURVEY [Insert Company Logo/Name] [Insert Company Address] ______________________________________________________________________________ IMPORTANT. This exit interview survey will provide the company an opportunity to gather valuable feedback that will help improve work practices inside the company. We highly recommend your honesty upon answering this survey. The information collected will be utilized to improve employee retention strategies of [Specify Company Name] . Your response to this survey will be treated with utmost confidentiality and will not become part of your employee record. ______________________________________________________________________________ [Specify Date of Resignation] Date of Resignation Name: [Specify the Name Here] Job Title: [Specify the Job Title Here] Department: [Specify the Department Here] Date of Hire: [Specify the Date Here] Name of Supervisor: [Specify the Name Here] PURPOSE OF SEPARATION Personal Reasons Dissatisfied with Working Conditions Dissatisfied with Pay  Career Change Retirement Laid Off Strongly Disagree Disagree Neutral Agree Strongly Agree Satisfied with the recruitment process Satisfied with the employee morale Satisfied with the new employee orientation Satisfied with the communication between the management and employees Satisfied with the employee treatment Satisfied with the company's goals and objectives Satisfied with the benefits Satisfied with the salary Satisfied with the company's goals and objectives Satisfied with the career growth opportunities Satisfied with the type of work Satisfied with coworkers and management Satisfied with the working hours Satisfied with the company policies and regulations Satisfied with the performance recognition Satisfied with the workload Satisfied with the level input of decision  Satisfied with the working conditions Satisfied with the training and development Satisfied with the tools and equipment provided Satisfied with the work location Based on your complete experience with our organization, are you likely to recommend your family/friends to work with us? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What actions do you think the company should take establish a better workplace?  ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Do you have any more comments / suggestions you want to share to the company?  ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________         Employee Signature   Download Word Document In English. (Rs.30/-)

  • Restaurant Customer Service Survey

    CUSTOMER SERVICE SURVEY Download Word Document In English. (Rs.40/-) NAME (Optional) : [SPECIFY NAME] ADDRESS : [SPECIFY ADDRESS] PHONE : [SPECIFY PHONE] DATE : [SPECIFY DATE] Hello! We are [SPECIFY YOUR RESTAURANT NAME] , available to serve you with your food needs. We are constantly working to provide and give out the best food service we could offer. This survey is a part of the process as every customer opinion is a valuable asset in the development and achieving a more stable and best food service. Your opinion is very important to build and improve constructive criticisms. Our goal is to be proactive in monitoring your satisfaction. Please help us do this by completing this survey form. This part of the survey is about the food in the [SPECIFY YOUR RESTAURANT NAME] . Kindly check the box which best represents your view and add your comments where relevant. How often do you usually eat in the [SPECIFY YOUR RESTAURANT NAME] ? ☐  More than three times a week ☐  Up to three times a week ☐  Once a week ☐  Hardly ever. Please specify why. Comments: What’s the reason for your visit in [SPECIFY YOUR RESTAURANT NAME] ? ☐  Dine In ☐  Leisure ☐  Event Celebration ☐  Business Appointment ☐  Others. Please specify. Comments: How did you discover [SPECIFY YOUR RESTAURANT NAME] ? ☐  TV ☐  Newspaper ☐  Radio ☐  Internet ☐  Recommended by a friend ☐  Others. Please specify.  Comments: Is there any specific time you prefer to visit the restaurant? If yes, what are the reasons? [REASONS] When you eat in [SPECIFY YOUR RESTAURANT NAME] , what type of food do you normally eat and        dine? ☐  Starter ☐  Hot main course ☐  Vegetarian main course ☐  Vegetables ☐  Fried foods ☐  Salads ☐  Desserts ☐  Fresh fruit ☐  Sandwiches ☐  Others. Please specify. Comments: How would you describe the food in regards to the value for money? ☐  Good value for money ☐  Reasonable ☐  Bad Please give reasons. How important is the price factor for you? ☐  Important ☐  Somewhat important ☐  Not really How would you describe the variety of foods the [SPECIFY YOUR RESTAURANT NAME]  offer? ☐  Excellent ☐  Good ☐  Fair ☐  Poor Please give reasons. What improvements, if any, would you like to see in the variety of foods [SPECIFY YOUR RESTAURANT NAME]  offer? [REASONS] Are you concerned about the types of food you eat (i.e. do you prefer healthy food)? ☐  Most of the time ☐  Sometimes ☐  Never ☐  Others. Specify reason/s. Comments. Quality ingredients used in [SPECIFY YOUR RESTAURANT NAME]  dishes? ☐  Yes ☐  No How the [SPECIFY YOUR RESTAURANT NAME]  dishes are prepared and cooked? ☐  Yes ☐   No Please select the reason on your dine in experience with us. Strongly Disagree Disagree Agree Strongly Agree 1. The food is served fresh and hot. ☐ ☐ ☐ ☐ 2. The food is tasty and flavourful. ☐ ☐ ☐ ☐ 3. The menu has a good variety of options. ☐ ☐ ☐ ☐ 4. The menu reflects the image and reputation of the restaurant. ☐ ☐ ☐ ☐ 5. The food is consistent. ☐ ☐ ☐ ☐ 6. The food was good value for the price. ☐ ☐ ☐ ☐ In this section, please choose the most applicable reason you prefer on the menu and how likely would you try them. Menu Very Likely Quite Likely Quite Unlikely Very Unlikely 1. [INSERT NAME OF FOOD ITEM] ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ This section is about the restaurant environment and service. Please check as appropriate. Most of the time Some of the time Never 1. I have to queue for a long time. ☐ ☐ ☐ 2. The portion sizes are about right. ☐ ☐ ☐ 3. The cutlery is clean. ☐ ☐ ☐ 4. The staff are well-presented. ☐ ☐ ☐ 5. The staff are helpful. ☐ ☐ ☐ 6. The staff are welcoming. ☐ ☐ ☐ 7. The general service is good. ☐ ☐ ☐ 8. The restaurant is very clean. ☐ ☐ ☐ Please choose your level of agreement or disagreement with the following statements about the food services. Strongly Disagree Disagree Agree Strongly Agree 1. We were seated promptly. ☐ ☐ ☐ ☐ 2. The server was friendly and patient when taking our order. ☐ ☐ ☐ ☐ 3. Our server coordinated the timing of the courses perfectly. ☐ ☐ ☐ ☐ 4. A server was there to take our order quickly. ☐ ☐ ☐ ☐ 5. Overall, the service was excellent. ☐ ☐ ☐ ☐ 6. The server was able to answer all our questions. ☐ ☐ ☐ ☐ 7. Considering everything, our dining experience was a good value. ☐ ☐ ☐ ☐ Please check as appropriate with the following statements about the restaurant appearance. Needs Improvement Good Satisfactory Excellent 1. Was the restaurant’s outside appearance attractive? ☐ ☐ ☐ ☐ 2. Did the outside appear to be clean - clear sidewalks, clean window and doors, etc.? ☐ ☐ ☐ ☐ 3. Was the dining area attractive and spacious? ☐ ☐ ☐ ☐ 4. Was the restaurant clean and attractive inside? ☐ ☐ ☐ ☐ 5. How did you feel about the overall appearance of the restaurant? ☐ ☐ ☐ ☐ 6. The cleanliness is impeccable. ☐ ☐ ☐ ☐ 7. Food is presented nice and beautiful. ☐ ☐ ☐ ☐ 8. The lighting and music are enjoyable and adjusted to appropriate levels. ☐ ☐ ☐ ☐ Do special offers on meals and prices attract you to a restaurant? ☐  Yes ☐  No ☐  Sometimes How would you rate your overall satisfaction? ☐  Poor ☐  Fair ☐  Good ☐  Very Good Comments. Are there any other comments, suggestions and complaints you would like to make: About the breakfast service? [SUGGESTIONS] About the lunch service? [SUGGESTIONS] In general? [SUGGESTIONS] Please supply the following details about yourself. AGE:  ☐  Under 16 years old ☐  16-35 years old ☐  36-50 years old ☐  51 years old and over SEX: ☐  Male ☐  Female TYPE OF WORK: ☐  Managerial ☐  Administrative ☐  Clerical ☐  Manual ☐  Others. Please specify. Would you recommend [SPECIFY YOUR RESTAURANT NAME]  to a friend? ☐  Definitely ☐  Probably ☐  Probably not ☐  Definitely not ☐  Not sure Based upon your experience, would you visit and dine in more regularly in [SPECIFY YOUR RESTAURANT NAME] ? ☐  Yes ☐  No Thank You for Completing This Survey. We Are More Than Happy To Serve You. We Hope To See You Again.

  • Employee Feedback Survey for Manager Template A4

    Employee Feedback Survey For Manager [Company Logo] [Company Name] [Company Address] Name (Optional): [XYZ] Department: [Customer Support] Position: [Customer Support Representative] Date: [DD/MM/YYYY]  Department Manager: [Name] This survey questionnaire will determine the performance of your department manager based on your perspective. By answering this survey, you are helping the company to improve the quality of work of its managerial workforce. Below is a set of questions regarding the performance of your department manager for this year. Please place a checkmark ( ✓)  on the cell corresponding to your response.    Questions Always  Sometimes Never Does your manager prepare weekly/monthly shift schedules in a timely manner? Does your manager check the operations regularly? Is your manager highly involved in resolving significant issues?   Can your manager resolve issues within a short period?  How often does he/she collect reports from you and your colleagues?   Does your manager provide frequent feedback concerning your performance and that of your colleagues? How frequent does he/she conduct meetings or briefings with your department?  Does he/she arrive to work on time? Does your manager treat you and your colleagues with respect and professionalism?  On a scale of 1 to 5, with one (1) as the highest, how would you rate the written and verbal communication skills of your manager?  1 2 3 4 5 How would you judge the composure and collectiveness of your manager during hectic situations in the operations?  Above Average Average Below Average Do you have a healthy relationship with your department manager? Yes Maybe No In general, how would you evaluate the performance of your department manager for the year that passed? Very Satisfactory Satisfactory Average Unsatisfactory Very unsatisfactory  State further comments concerning your department manager’s performance here: Your statements and responses on this survey are much appreciated. They are considered as highly confidential and will not be disclosed to any unauthorized entities outside the Human Resource Department.  __________________ Employee’s Signature Download Word Document In English. (Rs.20/-)

  • Security for Costs of Appeal

    Security for Costs of Appeal (O.41, R.10.) (Title) To THIS security bond for costs of appeal executed by...............................witnesseth:-- This appellant has preferred an appeal from the decree in Suit No..........of ..............19........, against the respondent, and has been called upon to furnish security. Accordingly I, of my own free will, stand security for the costs of the appeal, mortgaging the properties specified in the schedule hereunto annexed. I shall not transfer the said properties or any part thereof, and in the event of any default on the part of the appellate, shall duly carry out any order that may be made against me with regard to payment of the costs o appeal. Any amount so payable shall be realized from the property. hereby mortgaged, and if the proceeds of the sale of the said proper ties are insufficient to pay the amount due, I and my legal representatives will be personally liable to pay the balance. To this effect I execute this security bond this .........day of........... 19.......... Schedule (Signed.) Witnessed by 1. 2. Download Word Document In English. (Rs.15/-) Download PDF Document In Marathi. (Rs.15/-)

  • Sample Restaurant Survey

    Restaurant Survey1 This survey is conducted by [SPECIFY RESTAURANT NAME] for the purpose of [SPECIFY PURPOSE]. Please rate the questions accordingly. QUESTIONS Strongly Agree Agree Neutral Strongly Disagree Disagree Are the waiters and servers well mannered? ◻ ◻ ◻ ◻ ◻ Did the waiters and servers greet you upon entrance? ◻ ◻ ◻ ◻ ◻ Are the tables always clean? ◻ ◻ ◻ ◻ ◻ Are the orders taken without delay? ◻ ◻ ◻ ◻ ◻ Were the staff accommodating? ◻ ◻ ◻ ◻ ◻ Are the foods served impeccably? ◻ ◻ ◻ ◻ ◻ Are the foods guaranteed fresh and clean? ◻ ◻ ◻ ◻ ◻ Are the prices acceptable? ◻ ◻ ◻ ◻ ◻ Is the price-quality ratio reasonable? ◻ ◻ ◻ ◻ ◻ Are the dishes well cooked? ◻ ◻ ◻ ◻ ◻ Is the overall service satisfactory? ◻ ◻ ◻ ◻ ◻ Download Word Document In English. (Rs.15/-)

  • Team Performance Template

    TEAM PERFORMANCE TEMPLATE This template helps you, your peers, and your immediate head regarding your respective performance in the team. This is a sole determinant if they have been cooperative throughout the project. It also makes them aware of their strengths and weaknesses. Through the use of this template, there is a possibility of improved performance.  [INSERT COMPANY LOGO] [INSERT COMPANY NAME] DATE:  [INSERT DATE] TEAM NAME: [INSERT TEAM NAME]                 TEAM LEAD:  [INSERT NAME OF TEAM LEAD] MEMBERS: [INSERT NAME OF MEMBERS] EVALUATED BY: [INSERT NAME OF EVALUATOR] *Please provide your rating below according to your team members’ performance (5-Strongly Agree and 1-Strongly Disagree) . Put a check ( ✔ ) mark in the boxes to rate. DESCRIPTION (5) Strongly Agree 4 3 2 (1) Strongly Disagree WORK 1. The team leader knows what he or she is doing 2. The task was evenly distributed 3. The team leader handled the team effectively 4. Everyone knows his or her roles in the team 5. Goals were set beforehand 6. We had adequate resources TEAM 1. I had no problem with my team members 2. My team were cooperative the whole time 3. Our team leader entertained suggestions and provided solutions to our concerns 4. The team leader sees criticism as an opportunity to grow 5. The team has effective conflict resolution [INSERT MORE ITEMS HERE] *What area/s do you think the team needs to work on? *Provide suggestions, if any.   Download Word Document In English. (Rs.20/-)

  • Product Survey

    PRODUCT SURVEY TEMPLATE       Is this your first time using [ PRODUCT/SERVICES] ? If no, skip question 2.    ☐ Yes ☐ No   Where did you get the information about [PRODUCT/SERVICES] ?   ☐ TV Commercial Ads ☐ Radio Advertisement ☐ Classified Ads on a Newspaper ☐ Magazines ☐ Posters and Flyers ☐ Recommendation of a Friend/Relative ☐ Online Advertisements ☐ Others, Please specify:    How long have you used  [PRODUCT/SERVICES] ?   ☐ Less than a month ☐ Less than six months ☐ Less than a year ☐ One to Two years ☐ Two to three years ☐ More than three years   How often do you make use of  [PRODUCT/SERVICES] ?   ☐ Everyday ☐ Once a week ☐ Two weeks ☐ Once a Month ☐ Every six months ☐ Yearly   Where do you often buy [PRODUCT/SERVICES] ?   ☐ Convenience Store ☐ Department Store ☐ Supermarket ☐ Online Stores ☐ Malls ☐ Others, Please specify:    Did [PRODUCT/SERVICES]  meet your expectations?   ☐ Yes  ☐ No   How would you rate the quality of [PRODUCT/SERVICES] ?   ☐ Very High Quality ☐ High Quality ☐ Average ☐ Low Quality ☐ Very Low Quality   In your opinion, how is the quality of [PRODUCT/SERVICES]  compared to other products of this type?   ☐ Excellent ☐ Better ☐ Just the same ☐ Bad ☐ Worse   How satisfied are you with [PRODUCT/SERVICES] ?   ☐ Extremely Satisfied ☐ Fairly Satisfied ☐ Average ☐ Fairly Dissatisfied ☐ Very Dissatisfied   Would you continue to make use of [PRODUCT/SERVICES] ?   ☐ Yes ☐ No   Would you recommend [ PRODUCT/SERVICES ] to your family members, friends, and colleagues?   ☐ Yes ☐ No   Please rank the following bases for buying products of this kind.   Quantity  [NUMBER 1]    Quality [NUMBER 2]          Price [NUMBER 3]   Brand       [NUMBER 4]     Familiarity [NUMBER 5]    Usage [NUMBER 6]   Comments and Suggestions     Thank you for taking the time in answering this survey questionnaire! We hope you’ll continue to Patronize our products at [YOUR COMPANY NAME] !   Download Word Document In English. (Rs.30/-)

  • Feedback Survey Template

    [INSERT COMPANY LOGO] [INSERT NAME OF SURVEYING COMPANY] [INSERT ADDRESS OF SURVEYING COMPANY] [INSERT CONTACT INFORMATION OF SURVEYING COMPANY] FEEDBACK SURVEY This survey seeks to acquire your feedback on our products and services, which you recently received from our company. Your answers to this 00.00 minute survey will aid our company in improving our products and services to provide you only the best. Rest assured that your answers will be kept in confidence, and will only be used for the purposes of this survey. General Customer Background Please indicate your gender. ◻ Male ◻ Female ◻ Prefers not to answer Which age group/range do you belong to? ◻ Younger than 18 years old ◻ 18 to 25 years old ◻ 26 to 35 years old ◻ 36 to 45 years old ◻ 46 to 55 years old ◻ 56 to 65 years old ◻ Older than 65 years old Is it your first time to purchase and avail of any product and service from [INSERT NAME OF COMPANY]? (If yes, proceed to question no. 3.) ◻ Yes ◻ No How long have you been purchasing from our store? ◻ Less than 6 months ◻ More than 6 months to one year ◻ More than one year ◻ Patron of the company ◻ Registered product user Which of our customer offers did you purchase and avail of? (If you answer ‘Services’, proceed to no. 5.) ◻ Products ◻ Services ◻ Others, please specify [ ] What kind of products do you purchase from our store? (You can pick more than one of the selections provided.) [INSERT PRODUCT DETAILS] What kind of services do you avail from our store? (You can pick more than one of the selections provided.) [INSERT SERVICE DETAILS] Customer Product/Service Feedback How satisfied are you after using our products or experiencing our services? ◻ Extremely Satisfied ◻ Somewhat Satisfied ◻ Average ◻ Somewhat Dissatisfied ◻ Extremely Dissatisfied What attributes do our products/services possess which please or satisfy the most? (You can make more than one selection.) On Products: ◻ High Standard Quality ◻ Convenient for Daily Use  ◻ Affordable Price ◻ User-Friendly ◻ Easy to Move ◻ Easily Fits Into Small Spaces On Services: ◻ Quick and Fast Services ◻ Available Customer Support ◻ Simplified Process ◻ Polite and Professional Service Employees ◻ Always Provide Good Advice and Tips How likely are you going to recommend our store to your friends, relatives, or colleagues? ◻ Extremely Likely ◻ Somewhat Likely ◻ Neutral ◻ Somewhat Unlikely ◻ Extremely Unlikely (For Subscribers/Members only)  How likely are you to continue doing business with our store? ◻ Extremely Likely ◻ Somewhat Likely ◻ Neutral ◻ Somewhat Unlikely ◻ Extremely Unlikely (For Non-Subscribers/Non-Members only)  Are you interested in availing our subscription/membership programs granting rewards and discount privileges? ◻ Extremely Interested ◻ Somewhat Interested ◻ Undecided ◻ No (For Subscribers/Members only)  How often do you avail of store rewards and privileges for subscribers/members? ◻ Very Often ◻ Sometimes ◻ Average ◻ A Few Times ◻ Rarely (For Subscribers/Members only)  How satisfied are you with the rewards and privileges for subscribers/members? ◻ Extremely Satisfied ◻ Somewhat Satisfied ◻ Average ◻ Somewhat Dissatisfied ◻ Extremely Dissatisfied Indicate your comments and suggestions for improvement. Thank you for answering this survey! [INSERT TAGLINE/SLOGAN] [INSERT COMPANY LOGO] Download Word Document In English. (Rs.40/-)

  • Employee Resignation Survey

    Employee Resignation Survey [Insert Company Logo] [Insert Company Address] This employee turnover survey is intended to determine the reasons as to why the employee is leaving the company/organization. The answers in this survey will be treated with utmost confidentiality. The findings will then be used to improve employee retention best practices and reduce the company/organization’s turnover rate.             Voluntary Turnover                                          Involuntary Turnover Name: [Insert Employee Name] Department and Job Title: [Insert Department and Position] Gender: Female Male Age Group: 18–24 25–34 35–44 Over 45 Months / Years of Service: Less than 6 months 6 months to 1 year 1–3 years 3–6 years 6–9 years Over 9 years QUESTIONNAIRE Indicate a check mark ( ✔ ) on the corresponding rating below. Please answer this survey honestly.  Strongly Agree Agree Neutral Disagree Strongly Disagree  There are adequate opportunities for development in the company.  I am satisfied with the workplace culture. I am satisfied with the leadership of the management.  I wanted a more challenging type of work.  I am satisfied with the benefits and compensation I receive from my work.  My contributions to the company are always recognized.  My work has more positive than negative aspects.  The company policies and procedures are employee-friendly.  My work provides me with work-life balance.  I am not comfortable making mistakes in my work.  I can immediately take breaks while I am at work.  My work does not stress me.  The management is always supportive. I can immediately approach my supervisor/manager when problems arise.  My work is intellectually stimulating.   [Insert More Items Here] How likely are you to recommend our company to your friends and family to work with us?  _______________________________________________________________________________________________________________________________________________________________________________________________________________ What are the aspects of your work that made you quit the job? _____________________________________________________________________________________________________________________________________________________________________________________________________________________ Download Word Document In English. (Rs.30/-)

  • Patient Satisfaction Survey Template

    Download Word Document In English. (Rs.50/-) [INSERT NAME OF HOSPITAL/CLINIC] [INSERT YOUR HOSPITAL/CLINIC ADDRESS] [INSERT YOUR HOSPITAL/CLINIC CONTACT NUMBER/S]  PATIENT SATISFACTION SURVEY Dear Patient: We at [INSERT NAME OF YOUR HOSPITAL/CLINIC] aim to live up to our commitment of giving the best medical treatment and healthcare services to our patients. We are interested in knowing your thoughts about the services we provide here at [INSERT NAME OF YOUR HOSPITAL/CLINIC].  Take a few minutes of your time and answer this survey. The information you share will help us in evaluating and improving the services we offer. We thank you for sharing your experience with us. The [INSERT NAME OF HOSPITAL/CLINIC] team Date of your appointment:                                         Age:  Name of Doctor:                                                              Gender:        F         M How long have you been visiting the office of the doctor at [INSERT NAME OF YOUR HOSPITAL/CLINIC]? Less than two times Two to Four times Five to Seven times More than Seven times Are you using a healthcare plan in availing the medical and healthcare services of [INSERT NAME OF YOUR HOSPITAL/CLINIC]? If no, skip next question and continue onto the question after. Yes No What is the name of your healthcare plan?  Are you employed?       Yes          No If yes, Employer’s Name:  If no, what is your source of income? What is your educational attainment?           Elementary Grad           Secondary Grad           College Grad           Post-Graduate Degree             Others, please specify:  Please encircle your rating of the following statements relevant to the medical/healthcare services you have experienced and the doctors you have visited at [INSERT NAME OF YOUR HOSPITAL/CLINIC]. About the Hospital/Clinic Medical and Healthcare Services: Very Dissatisfying Fairly Dissatisfying Satisfying Fairly Satisfying Very Satisfying Not Applicable 1 I am satisfied with the person I spoke with when I called the hospital/clinic to inquire about the medical and healthcare services they provide. 1 2 3 4 5 N/A 2 I had ease in scheduling checkups and medical or healthcare procedures.  1 2 3 4 5 N/A 3 There is cleanliness in the amenities I have utilized when I was admitted at the hospital/clinic. 1 2 3 4 5 N/A 4 I had no problem in the check-in process of the hospital/clinic. 1 2 3 4 5 N/A 5 The assisting nurses gave clear and sufficient instructions relevant to the procedure as well as what to expect before the proceeding with the medical procedure. 1 2 3 4 5 N/A 6 All the attending nurses and physicians of the hospital/clinic were observing courtesy and care to each patient.  1 2 3 4 5 N/A 7 Despite the complicated procedure, I felt assured and comfortable within the procedure room.  1 2 3 4 5 N/A 8 The hospital/clinic provide useful information about the medical and healthcare procedures they offer through different kinds of medium within the premises of the facility. 1 2 3 4 5 N/A 9 The doctors and the nurses have exceptional teamwork in responding to and in executing various medical and healthcare procedures.  1 2 3 4 5 N/A 10 I am assured of the quality of medical or healthcare service the hospital/clinic provides. 1 2 3 4 5 N/A About the Doctor/Nurse/Staff: Very Dissatisfying Fairly Dissatisfying Satisfying Fairly Satisfying Very Satisfying Not Applicable 11 I can easily contact my doctor even after the hospital/clinic hours particularly for emergency reasons. 1 2 3 4 5 N/A 12 There is comfort even while waiting in the doctor’s office. 1 2 3 4 5 N/A 13 The doctor/staff/nurse is easily approachable when i have concerns. 1 2 3 4 5 N/A 14 Follow-up and care information like test results and medicines is obtained without so much difficulty. 1 2 3 4 5 N/A 15 Instructions on how to improve the condition of your health is relayed by your doctor in a caring and a professional way. 1 2 3 4 5 N/A Very Dissatisfying Fairly Dissatisfying Satisfying Fairly Satisfying Very Satisfying Not Applicable 16 Overall medical attention from your doctor as well as the staff and nurses in assistance.  1 2 3 4 5 N/A 17 Overall rating of the medical and healthcare services provided at the hospital/clinic. 1 2 3 4 5 N/A 18 I am satisfied with the medical procedure/healthcare service I have experience when i visited the hospital/clinic. 1 2 3 4 5 N/A 19 Overall experience at [INSERT NAME OF YOUR HOSPITAL/CLINIC 1 2 3 4 5 N/A 20 The hospital/clinic is a facility i can rely on for the improvement of my health condition. 1 2 3 4 5 N/A Would you recommend your doctor to your family, relatives, and friends when it concerns health? Highly Likely Somewhat Likely Likely Somewhat Unlikely Highly Unlikely Would you recommend [INSERT NAME OF YOUR HOSPITAL/CLINIC] to your family, relatives, and friends when it concerns health? Highly Likely Somewhat Likely Likely Somewhat Unlikely Highly Unlikely Comments and Suggestions

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