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29/06/2019 Feedback Form 29/06/2019 Feedback Form

Hostel Facilities *
Excellent V.Good Good Average Poor

Library

Gym

Indoor /
Outdoor

Feedback Form games

Timings of
Mess
* Required

Hot Water

Fill the following questionnaire to share your experience


Security

Course / Branch *

Your answer Food & Water *


Excellent V.Good Good Average Poor

Stay Period From * Availability of


drinking water
Date

dd/mm/yyyy Quality of Food

Quantity of
Food
Hostel Staff Member *
Variety in Food
Excellent V.Good Good Average Poor

Accessibility to Mess Bill


Warden

Accessibility of
Hostel O ce
Staff Medical Facility *
Behavior of Excellent V.Good Good Average Poor
Hostel O ce
Staff
1. Availability of
Redressal of rst
Problem Aid/Medicines

Behavior of 2. Action taken


Mess Staff during medical
emergency
Behavior of
Security Staff

Overall Rating Any Suggestions for improvement


Your answer

Hostel Cleanliness *
Excellent V.Good Good Average Poor BACK SUBMIT Page 2 of 2

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Corridor

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Wash rooms  Forms

Common Area

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