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CONSULATE GENERAL OF INDIA
P.O. Box No. 952
Jeddah (Saudi Arabia)

HAJ EVALUATION FORM


Dear Pilgrim,

In our endeavour to improve the Haj management facilities, please help us to fill in this Questionnaire.
This information shall be used only for Haj purposes.

1.  Personal Data: Name of pilgrim: __________________________ Actual Age : _____
                               Background: Rural/Urban
                               Passport No. _____________ Cover No. ________ Maktab No. ____
                               Makkah Building No. ______ Room No. _____
                               Date of Arrival _____________ Expected Date of Departure ______________

2. Is this your first Haj ? Yes/No. If yes, Haj No. ___

3 . Have you been given training and orientation about Umrah and Haj before departure? Yes/No.
     If yes, by whom _________________, where ______________________ duration _______

4. Have you been briefed about Haj safety measures, sun-stroke/f'ire/stampede/any other? Yes/No

5. At what time did you reach following places and how?
    Mina        on 8th D. Hijjah __________ AM/PM Bus of Moallim [  ] Private Bus/Taxi [  ] Walk [  ]
    Arafat      on 9th D. Hijjah __________ AM/PM Bus of Moallim [  ] Private Bus/Taxi [  ] Walk [  ]
    Muzdalifa on 9th D. Hijjah __________ AM/PM Bus of Moallim [  ] Private Bus/Taxi [  ] Walk [  ]
    Mina      on 10th D. Hijjah __________ AM/PM Bus of Moallim [  ] Private Bus/Taxi [  ] Walk [  ]
    Makkah on 12th D. Hijjah __________ AM/PM Bus of Moallim [  ] Private Bus/Taxi [  ] Walk [  ]

6. When did you board the flight from India? __________________
    When did you reach the airport in India?  ___________________

7. How much time before boarding the plane in India did you get your: Passport  ___________
                                                                                                           Ticket     ___________
                                                                                                            Demand Draft _______
8. How did you find arrangements at the following places:
                                                                                            Good         Satisfactory         Poor
    Departure from India                                                          [   ]                [   ]                 [   ]
    Arrival point at Jeddah Haj Terminal                                   [   ]                [   ]                 [   ]
    Arrangements at Makkah                                                   [   ]                [   ]                 [   ]
    Arrangements at Madina                                                    [   ]                [   ]                 [   ]
    Arrangements in Mina                                                        [   ]                [   ]                 [   ]
    Arrangements in Arafat                                                      [   ]                [   ]                 [   ]
    Arrangements in Muzdalifa                                                 [   ]                [   ]                 [   ]

9. How was the behaviour of Moallim? Very co-operative/Co-operative/Non co-operative

10. Did the Moallim - Provide meal on arrival :                                      Yes/No
                                 Arrange for shifting baggage from buses to room : Yes/No
                                 Provide assistance for Umrah :                              Yes/No

11. Did you face any problem in the building at Makkah? Yes/No
      If yes, building condition [   ], services [   ], approach to building [   ], sanitation [   ]

12. How do you rate the attitude of the staff of the Consulate General of India
      (a) Administrative Very co-operative [   ], Co-operative [   ], Non co-operative [   ]
      (b) Medical          Very co-operative [   ], Co-operative [   ], Non co-operative [   ]

13. Were you affected by any incident: Yes/No like Theft [   ], Loss of belongings [   ], Any other  [   ]
 

(Signature of the Pilgrim)


1. Please feel free to write any remarks/suggestions beneficial for future arrangements.
2. Kindly use the other side of this page, if required.


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