Waste Facility Feedback Form
Please tell us about your experience at our Facility.
Which Facility/Service are you giving feedback on?
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What date did you visit this Facility/Incident Occur?
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Which Area Would You Like To Give Feedback On?
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Service/Staff
Transfer Station
Recycling
Northam Re-Store
General Waste
Liquid Waste Facility
Special Burials / Asbestos Disposal
Roadside Collection Service
How Satisfied Are You With The Customer Service?
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5 - Very Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Very Dissatisfied
Please Provide Comment On Your Answer. (Optional)
How Satisfied Were You With Ease Of Use?
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5 - Very Satisfied
4 - Satisfied
3 - Neutral
2 - Unsatisfied
1 - Very Unsatisfied
Please Provide Comment On Your Answer. (Optional)
How Often Do You Visit This Facility/Service?
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Do You Have Any Additional Comments Or Questions?
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Would You Like A Response To Your Feedback?
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No
Please Provide Your Name
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Please Provide Your Email (Optional)
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