|CONSULATE GENERAL OF INDIA
P.O. Box No. 952
Jeddah (Saudi Arabia)
HAJ EVALUATION FORM
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 : _____
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:
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 :
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
(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 [ ]
1. Please feel free to write any remarks/suggestions beneficial for future arrangements.
2. Kindly use the other side of this page, if required.