1. Date of evaluation

2. Name of field agent

3. Number of the article with the answer

 

4. Farmer: Family name:

5. Farmer: Given name

 

 

 

6. Did the answer arrive in time?

yes

 

no

 

 

 

 

 

7. Was the answer to your question satisfactory?

very satisfactory

 

 

 

satisfactory

 

 

 

fairly satisfactory

 

 

 

not satisfactory

 

 

 

other questions arise

 

 

8. Was the answer easy to understand?

yes

 

partly

 

no

 

 

 

9. Was the information new to you?

completely

 

partly

 

not new

 

 

 

9. Would you like to use the QAS in the future?

yes

 

no

 

 

 

 

 

10. If not, why?

 

 

 

 

 

 

 

 

 

11. Please suggest ways to improve the service:

 

 

 

 

 

 

 

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