Your feedback is important to us in maintaining and improving our food safety and quality culture.

Please
take a moment to provide your valuable insights and comments.

Name: __________________________________________________________________
Designa on: _____________________________________________________________
Department: ______________________________________________________________

1. Please rate our organiza on's commitment to food safety and quality culture on a scale of 1 to 5, 1
with being the lowest and 5 being the highest:

 1 (Low) ☐
 2 ☐
 3 (High) ☐
2. How would you rank our organiza on's compliance with the FSSC 22000 Ver 6 criteria for food
safety and quality culture?

 1 (Low) ☐
 2 ☐
 3 (High) ☐
3. Have you personally witnessed or experienced any food safety or quality issues within our
organiza on?

 Yes ☐
 No ☐
If yes, please describe the issue(s) and the ac ons taken to address them:

4. How would you rate the communica on and repor ng processes related to food safety and quality
within our organiza on?

 1 (Low) ☐
 2 ☐
 3 (High) ☐
5. Do you believe there is a strong food safety and quality culture present within our organiza on?

 Yes ☐
 No ☐
6. Please provide any addi onal comments, sugges ons, or recommenda ons for improving our food
safety and quality culture:

Thank you for taking the me to complete this feedback form. Your input is highly valuable in helping us
enhance our commitment to food safety and quality.