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Complaint
Compliment
Lost/Found Query
Date of Occurrence
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Year
2005
2004
2003
2002
2001
2006
2007
Time of Occurrence
AM
PM
Departing from
Select Location
Mulifanua
Salelologa
Apia
Pago Pago
Arriving at
Select Location
Mulifanua
Apia
Pago Pago
Salelologa
My Incident Occurred
On the Ferry
At the Arrival Terminal
At the Departure Terminal
At the Vehicle Staging Area
At the Passenger Staging Area
Vessel Name
Not Sure
MV Lady Samoa II
MV Lady Naomi
MV Samoa Express
MV Fotu o Samoa II
Traffic Conditions
Light
Moderate
Heavy
Weather Conditions
SSC Employee Name
SSC Employee Description
Comments
Please type coments here
General
Yes
No
Were the employees acting in a professional and courteous manner ?
Yes
No
Did you find the restrooms clean?
Yes
No
Was the overall appearance of the ship clean and tidy ?
Your Information
Your Name
Address
City
Country
Email
Phone
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