Nexus Medicolegal Services
 
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Feedback Employee
 
Nexus Employee Name:  
How do you rate my communications (Language skills)?
  Very poor - Not understandable
  Somewhat unsatisfactory –Could be improved
  Satisfactory
  Excellent – Very clear and concise with neutral accent
 
Other
How do you rate overall quality of my service?
  Very poor
  Somewhat unsatisfactory
  About average
  Very satisfactory
  Excellent
Would you please take a few minutes to describe what about the service experience stands out:
How do you evaluate my behaviour towards you? Please tick all applicable
  Courteous
  Patient
  Enthusiastic
  Listened carefully
  Friendly
  Responsive
 
Other
In what way I can be Improved? (Please tick all applicable)
  Not patient
  Not enthusiastic
  Didn't listen carefully
  Unfriendly
  Unresponsive
  No improvement needed
 
Other
Do I handle your calls quickly?
  Disagree
  Agree
What would best describe your experience with me?
  Kept me waiting on hold
  Had to explain several times
  Didn't know how to handle the problem
  Had to ask others
  Spoke slowly
  No improvement needed
 
Other
You are impressed by my knowledge of job:
  Disagree
  Agree
Did you ever experience a negative experience with me? (Please tick all applicable):
  I didn't understand the question
  Gave unclear answers
  Couldn't solve problem
  Disorganized
  No improvement needed
Anything else you wold like to mention about me that could be done to serve you better?
Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing services in the future. Please email, fax or post this form back to us. You may also fill this form online on our website at www.nexusmedicolegalservices.com/feedback or http://bit.ly/nxfeedback