‘Ascoced Maine Ofc and Seamen's morn Pitines PTONO, mT (dn arate othe rational Transport "Woes Fern London) ‘SEAWEN'S HOSPITAL. met Sn ee Se, aru, SORE ERS Ser Res BREE LE can ross Eat showy met@unceno MER SATISFACTION SURVEY ‘Company Name: ‘Company Representative: Poston: Date: Period Covered In ine with our objective of providing you with better services, please fil up the survey Below using the folowing ratings tind'cend ito us once completed. We would appreciate receiving your commentssuggestions on how we can improve ‘ur pre-employment medical examination senoes. “Thank you very much for your cooperation. t ‘Needs Improvement 2 Fal ZA” Completion of PEME process 22 Releasing of wansmital reports 2 Releasing of PEME rests = *ERSONNEL + 2:1 Competancy & eficency of PEME personnel 3.2 Knowledge of PEME services provided i 35 Courtesy & Rendiness of atoning Saft “a FACIUTIES = “FA Space for accormodalion/waling area 42 Cleanliness & ordoriness of PEME area ES Technical capaciy ofthe facies in the Rosptal ACCOUNTING MATTERS ‘SA Accuracy of Biling statement ‘52 Timeliness of submissicn of bling alent | RESOLUTION OF PROBLEMS — ‘6:1 Actions Taken to salve problomis encountered “62 Etfecveness of acions taken to solve problenvs 6.5 Personnel asistance & mainienance of robienys |e Timeliness of probem resolution [7 OTHER COMIENTS pis: use Eick porion necessary) ‘SUG © ‘Signature of Company Representative