Feedback Form
Date
Time
Gender
Male
Female
Approximate Age
Select
Below 18
18 - 25
26 - 35
36 - 50
50 and Above
Accompanied by Infant or Children?
Yes
No
1. Overall Experience
Excellent
Good
Average
Poor
2. Features you like most
Aesthetic of the building
Accessibility for the physically challenged and senior citizens
Hygiene & Cleaning
Natural light
Digital Payment
Attitude and behaviour of the cleaning staff
Feeding room & Diaper changing table
Child-friendly features
3. Suggestions
4. Would you use this restroom again?
Yes
Maybe
No
Submit Feedback