Sila isikan kadar penilaian anda di dalam kotak yang disediakan bagi tiap-tiap soalan.
(Please fill in your rating in the box provided for each questionnaire).
(3) Amat Memuaskan
Very Satisfied		 (2) Memuaskan
Satisfied 		(1) Tidak Memuaskan
Dissatified 		(0) Amat Tidak Memuaskan
Very Dissatisfied
Maklumat diri (About yourself)
Adakah anda berpuashati dengan Perkhidmatan Ronda yang disediakan? (Are you satisfied with the services provided in Ronda Services?)
D. PERKHIDMATAN RONDA (Ronda Services)
Adakah anda berpuashati dengan perkhidmatan yang disediakan di Kawasan Rehat & Rawat? (Are you satisfied with the services provided in Rest & Services Area Management?)
C. PENGURUSAN KAWASAN REHAT & RAWAT (Rest & Service Area Management)
B. PENGURUSAN PLAZA (Plaza Management)
a) Keadaan Permukaan Jalan (Road Condition)
b) Papan Tanda di Lebuhraya (Highway Signage)
c) Kelancaran Trafik (Traffic Flow)
d) Lampu Jalan (Street Lighting)
e) Lanskap (Lanscaping)
f) Tempat Berteduh Motosikal (Motorcycle Shelter)
g) Ciri-ciri Keselamatan (Safety Features) - kon keselamatan (safety cones)
a) Kesopanan Jurutol (Toll Tellers Politeness)
b) Kecekapan Jurutol (Toll Tellers Efficiency)
c) Penampilan Jurutol (Toll Tellers Appearance)
d) Lorong tol beroperasi mencukupi (Adequacy of Toll Lane)
e) Lorong Bayaran Elektronik (Smart Tag Lane)
f) Lorong Bayaran Elektronik (Touch 'n Go Lane)
g) Papan Kadar Tol (Toll Fare Indicator)
h) Keadaan Lorong (Lane Condition)
n) Telefon Awam (Public Telephone)
m) Kawasan Letak Kenderaan (Car Park)
l) Tandas Awam di Plaza Tol (Public Toilet)
k) Surau Awam di Plaza Tol (Prayer Room)
j) Pengurusan Trafik di Lorong (Traffic Management at Lane)
i) Tempoh Beratur (Queuing Time)
i) Mesin ATM (Auto Teller Machine)
j) Tong Sampah (Rubbish Bins)
k) Restoran / Gerai (Restaurant / Stall)
l) Kesopanan Pengendali Gerai (Politeness of Tenants)
m) Pakaian Pengendali Gerai (Dressing of Tenants)
n) Pilihan Makanan (Choice of Foods)
h) Lampu (Lighting)
g) Papan Tanda (Signage)
f) Surau Awam (Prayer Room)
e) Tempat Mandi (Showers Room)
d) Tandas Awam (Public Toilets)
c) Rekabentuk Lanskap (Lanscape)
b) Tempat Letak Kenderaan (Car Park)
a) Telefon Awam (Public Telephone)
p) Kebersihan (Cleanliness)
o) Keselematan (Safety)
a) Penampilan (Appearance)
b) Kesopanan(Politeness)
c) Kecekapan(Competency)
d) Masa Tindak Balas(Response Time)
e) Kenderaan & Peralatan (Vehicle & Equipment)
3
2
1
0
0
1
2
3
0
1
2
3
3
2
1
0
Adakah anda berpuashati dengan Pengurusan di lebuhraya yang disediakan? (Are you satisfied with the service provided in Highway Management?)
A. PENGURUSAN LEBUHRAYA (Highway Management)
Adakah anda berpuashati dengan perkhidmatan Pengurusan Plaza mengikut kehendak anda? (Are you satisfied with the services provided in Plaza Management according to your needs?)
Lain-lain komen, jika ada (Other comments, if any)
Nama (Name) :
Umur (Age) :
Jantina (Gender):
Alamat (Address) :
No.Telefon (Phone No.) :
Email (Emel):
Tarikh (Date):