Security Checkpoint Feedback Form
Please share your feedback about your recent experience at our security checkpoint.
Checkpoint Location
*
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Visit
*
Please Select
Employee
Visitor/Guest
Delivery
Contractor
Other
How would you rate your overall experience?
*
1
2
3
4
5
Did you encounter any issues during your visit?
*
No issues
Yes, I experienced issues
Type of Issue (if any)
Long wait time
Unclear instructions
Staff professionalism
Privacy concerns
Other
How satisfied were you with the professionalism of the staff?
*
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
How would you rate the wait time?
*
Very Long
1
2
3
4
Very Short
5
1 is Very Long, 5 is Very Short
Please provide any suggestions for improvement
If you would like to be contacted for follow-up, please provide your email (optional)
example@example.com
Submit Feedback
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