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STAKEHOLDERS’ FEEDBACK FORM

Dear Stakeholders:

This form aims to collect feedback for the undersigned teacher’s performance for
his/her further improvement. Kindly give comments on how he/she handles herself
as an educator/class adviser/professional/individual basing on your encounters with
her during your classes (for students) and meetings/conferences (for parents).

Thank you and looking forward to your usual cooperation and support.

_____________________
Teacher/Class Adviser

STUDENT FEEDBACK:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
________________________________________

PARENT FEEDBACK:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
________________________________________

Signed:

__________________________________ _______________________________
(Student’s Signature over Printed Name ) (Parent’s Signature over Printed
Name)

Purok 4, Magsaysay St., Alfonso Lista, Ifugao 3608


| Email Address: smnhsshs305190@gmail.com | SDRRM: 0906-687-9367
| Guidance (Male): 0906-686-9370 | Guidance (Female): 0906-687-7973
Purok 4, Magsaysay St., Alfonso Lista, Ifugao 3608
| Email Address: smnhsshs305190@gmail.com | SDRRM: 0906-687-9367
| Guidance (Male): 0906-686-9370 | Guidance (Female): 0906-687-7973

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