Version Q.

No Question
1
What influences you to visit The Forum Mall?
2 What impresses you most about shopping at The Forum?
Please specify other
3 Are you aware of the current Shopping Festival promotion Forum Aao Dubai Jao?
4
If yes, how did you get to know about the current promotion?
5 Please rate our services for the following.
Does the current Shopping Festival promo in the mall induce you to shop?
During the Festive season does brands offer the latest season collections?
Does the Festive Decor enhance your shopping experience?
6 What Kind of events will attract you to visit the Mall?
7 Please rate your overall experience at Forum.
8 Personal inf.
Name,phone number, email id, age group , gender, profession
9 Suggestion
10 Facebook like
Selection Option Department Compulsary Slide
single brand mix, food, entertenment, place to hangout,others 1
single location,ambience,parking , others 1
single yes,no 2
multiple
radio,newspaper advertising,outdoor advertising,
facebook,mall promotion, word of mouth & others 2
3
single yes ,no , may be
single yes ,no , may be
single yes ,no , may be
mutiple family oriented,kids oriented,youth oriented,others 4
single poor,bad,average,good, excellent 5
age group, gender,profession (drop down/images)
text, voice or video
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branching of Q2
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rating
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Question Selection
Please rate your overall experience with us.
single select
Kindly Rate the services of the following personnel.
Bell Captain
Doorman
Reception/Information/Cashier
Telephone
Housekeeping Staff
Laundry
Hospitality
Security
Swimming Pool Attendant
In Room Dining Experience
In Room Dining Food
Restaurant Service
Restaurant Food
Bar/Beverage Service
Please tell us.
We hope you had a good night sleep. single select
Did you have a good shower? single select
Did you like our breakfast? single select
We hope your room was comfortable. single select
Would you select our Resort for your next visit to Chennai? single select
How Did you get to know about MGM Beach Resort
How could we make your stay better?
In the event, any of our staff meets your special appreciation, please name
Are you likely to recommend MGM Beach Resort to your acquaintances?
Please fold the feedback sheet and place it in the guest commets box at the
reception
Room no.
Date
Name
Designation
Organisation
Address
Telephone number
E-mail
Date of Birth
Wedding Anniversary
Facebook like of MGM
Thank you very much for your time & effort.
Option Department Compulsary Slide logic Buttons
excellent ,good,average
, bad&poor 1 smilies
2 rating/drop down/choices
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
excellent , good , fair
3
yes , no rating/drop down/choices
yes , no
yes , no
yes , no
yes , no
text 4
text
text
1-5 rating 5
personal widgit 6
7
Version Q. No Question Selection
1 1 Number of PAX. Choice
2 Please enter table number text
3
Your overall experience at Marrybrown was.
single select
4 Please rate our Food Quality. single select
Fried Chicken
Burgers
Beverages
Desserts
Finger Foods
Please rate our Service. single select
Speed of service
Courtesy &/ Friendliness
Counter Staff
Please rate our Ambience. single select
Resturant Ambience
Cleanliness
Air Conditioning
Music
Rest room cleanliness
5 Comments/suggestion
6
Will you recommend us to your friends and
family? single select
7
Please fold the feedback sheet and place it in
the guest commets box at the reception
Date
Name
Designation
Organisation
Address
Telephone number
E-mail
Date of Birth
Wedding Anniversary
8 Facebook of Aroy
Zomato of aroy
Option Department Compulsary Slide logic Buttons
choice (1-Greater than 10) 1
excellent ,good,average ,
bad&poor 2 smilie
excellent ,good,average ,
bad&poor 3 rating
excellent ,good,average ,
bad&poor
excellent ,good,average ,
bad&poor
text 4
on 1-5 rating scale 5 number image
personal widgit 6
7
Version Q. No Question
1 Personal Information.
2 Please rate your overall experience at Shalby Hospital.
3 Kindly rate your interaction with respective staff at Shalby Hospital .
Our Front Desk
During Consultation
For Diagnosis Services: Radiology
For Diagnosis Services: Pathology
Pharmacy Services
Cafeteria Services
Support Services
4 Front Desk
Helpfulness & Courtesy of staff
Ease of getting an appointment
Information Provided
Overall waiting time
5 Consultation
Helpfulness & Courtesy
Time spent by doctor
Explanation about diagnosis and treatment
Privacy during consultation
Waiting time for consultation
6 Diagnosis Services: Radiology
Waiting Time
Explanation about the investigation
Privacy during investigation
7 Diagnosis Services: Pathology
Waiting Time
Explanation about the investigation
Privacy during investigation
8 Pharmacy Services.
Efficiency
Approach
9 Cafeteria Services.
Quality of Food
Cleanliness and Hygiene
10 Support Services
Behavior of Security staff
Ambulance Services
Sitting Arrangements
Cleanliness and Hygiene
Other Facilities
11 Would you recommend this Hospital to others?
Please mention if any of our staff members especially impressed you.
How can we make you Shalby Experience better?
Selection Option Department Compulsary Slide
personal widgit 1
single select excellent ,good,average , bad&poor 2
single select excellent ,good,average , bad&poor 3
single select
excellent ,good,average , bad&poor
4
single select
excellent ,good,average , bad&poor
single select
excellent ,good,average , bad&poor
5
single select
excellent ,good,average , bad&poor
single select
excellent ,good,average , bad&poor
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single select
excellent ,good,average , bad&poor
single select
excellent ,good,average , bad&poor
7
single select on 1-5 rating scale 8
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rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
when patient give rating 3 or less it will appear . rating
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