Ambulance Service Feedback
Kindly give us your feedback whichever is applicable upon service to you to help us improve our services in line with our St. John Ambulans Malaysia motto: Service to Mankind. Your reply is greatly appreciated.
Sila kemukakan maklum balas anda mengenai perkhidmatan kami supaya kami dapat memperbaikikannya. Kerjasama anda amat dihargai.
Email address *
Name: *
Nama:
Your answer
Hand phone No.: *
No. Telefon Bimbit:
Your answer
Date of Ambulance Service Performed *
Tarikh Perkhidmatan Ambulan dilakukan
MM
/
DD
/
YYYY
In short, How do you rate our service? *
Bagaimana prestasi perkhidmatan kami?
Good / Baik
Weak / Lemah
Do you have any other remarks?
Your answer
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