Prime Gases Feedback Form

1) How would you rate satisfication with the following aspects of the services you have received or accessed?

1. Quality of services provided.

• Very Satisfied
• Satisfied
• Unsatisfied
• Not Sure

2. Professionalism and courtesy of Staff.

• Very Satisfied
• Satisfied
• Unsatisfied
• Not Sure

3. Timeliness of services provided.

• Very Satisfied
• Satisfied
• Unsatisfied
• Not Sure

4. Quality of product.

• Very Satisfied
• Satisfied
• Unsatisfied
• Not Sure

2) How satisfied are you overall with the services you recieved or assessed in the past six months?

• Very Satisfied
• Satisfied
• Unsatisfied
• Not Sure

3) What did you like most about the services you recieved or assessed?

4) What do you think we could do to improve our services?

5) Do you have any comments about our information resources and communication?