Professional Documents
Culture Documents
Survey Questionnaire
Survey Questionnaire
CONTROL #: _______________
AGE: _______ DATE: _________________
KASARIAN (GENDER) CIVIL STATUS (KATAYUAN SA BUHAY)
MALE SINGLE
FEMALE MARRIED
WIDOWED
SOURCE OF INFORMATION
FAMILY/FRIENDS SOCIAL MEDIA
EMPLOYER OWN DECISION
Panuto: Lagyan ng bilog ang bilang kung gaano ka nasiyahan (5 ang pinakamataas sa mga nasabing aspeto ng serbisyo.
(Instructions: Please encircle the number (5 being the highest) to rate our services you have availed based on the criteria mentioned below)
a. Empleyado (Personnel)
Magalang (Courtesy) 5 4 3 2 1
May kakayahan at kaalaman sa serbisyo (Knowledge of work) 5 4 3 2 1
Propesyonal (Professionalism) 5 4 3 2 1
Patas na serbisyo (Fairness of service) 5 4 3 2 1
d. Pasilidad (Facility)
Madaling mapuntahan and lokasyon (Accessibilty of location) 5 4 3 2 1
Isinasaalangalang ang kaligtasan at seguridad (Safety of location) 5 4 3 2 1
Kaayusan at kalinisan ng pasilidad (Cleanlinees and orderliness of place) 5 4 3 2 1
Pagtatangi sa may edad, kapansanan, at nagdadalang tao (Priority of Senior citizen, 5 4 3 2 1
PWDs, and pregnant women)
May karatula na malinaw na nakasaad ang Citizen Charter, direksyon at mga proseso 5 4 3 2 1
(Presence of signages, Citizen's Charter with process of servicess)
3 Gaano ang iyong kabuuang kasiyahan sa mga aspeto ng serbisyo na iyong tinangkilik? 5 4 3 2 1
(How would you rate your overall satisfaction of services you have availed?)