QUESTIONARIES ~ Public Amenities

Residents
Kindly spare a few minutes here to assist us to know a little better what our community requirements.
We will try to look into the requirements and find ways to achieve them. This is not a promise but a direction we should work towards.

How satisfied are you with the following local services?

1=Very Satisfied             2 =Fairly Satisfied     3=Neither Satisfied nor Dissatisfied

4=Fairly Dissatisfied      5 Very Dissatisfied

Name *

Address *

E-mail Address: *

Contact No *

Care of hedges * 12345

Care of public footpaths 12345

Refuse collection 12345

Care of Playground * 12345

Removal of abandoned vehicles 12345

Stray animals 12345

Recycling facilities 12345

Postal service 12345

Bus Services * 12345

Road Cleaning * 12345

Road Repairs * 12345

Road Gritting * 12345

* Required

QUESTIONARIES ~ Facilities

Residents
Kindly spare a few minutes here to assist us to know a little better what our community requirements.
We will try to look into the requirements and find ways to achieve them. This is not a promise but a direction we should work towards.

How Much does each of these facilities contribute to your quality of life?

1=Very Much 2=Much 3=Not Very Much 4=Very Little 5=Not At All

Name *

Address *

E-mail Address: *

Contact No *

Primary School * 12345

Types of Primary School * SRKSRJK (Cina)SRJK (Tamil)Sekolah Agama IslamNo Preference

Public Swimming Pool * 12345

Futsal * 12345

Senior Citizen Club * 12345

Badminton Court * 12345

Morning Market * 12345

Pasar Malam * 12345

Community Hall * 12345

* Required