Social Insurance Feedback Survey Form
We value your opinion. Please share your feedback about your recent experience with our social insurance service.
How satisfied are you with your overall experience with our social insurance service?
*
1
2
3
4
5
Please rate the following aspects of our service:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Clarity of information
1
2
3
4
5
Staff professionalism
6
7
8
9
10
Response time
11
12
13
14
15
Ease of process
16
17
18
19
20
How did you access our social insurance service?
*
In person
By phone
Online portal
Email
Other
Did you receive all the information you needed?
*
Yes
No
How likely are you to recommend our social insurance service to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Very likely
10
1 is Not likely, 10 is Very likely
What was the main reason for your visit or inquiry?
Please Select
Application for benefits
Claim follow-up
Information request
Complaint or issue
Other
Was your issue resolved to your satisfaction?
Yes
Partially
No
Please share any suggestions or comments to help us improve.
What is your age group?
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
What is your gender?
Female
Male
Non-binary
Prefer not to say
Submit Feedback
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