Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS NORTE
PANDAN INTEGRATED SCHOOL
Sarrat

CLIENT SATISFACTION SURVEY

Thank you for being our guest at Pandan Integrated School. In order for us to serve you
better, we are requesting feedback on the service(s) you received. Feel free to use the space below the
tables to provide further comments. Please remember that customer service and satisfaction are our
utmost concern. Any feedback you can provide will help us retain that quality and or basis for our
continuous improvement. Thank you for your assistance. Kindest RegardsPandan Integrated School.
Part I. Client Profile
Name (Optional) _______________________________________ Age: _ Sex: Male ( ) Female ( )
Address: __________________________________________________ Contact No.:
____________________
Position/ Department: ________________________________ Organization: _______________
Name of Office/Personnel Visited:
___________________________________________________________________

Part II. Please check (/) one box in each row to rate the following aspects of your stay.
Very Very
A. Office / Room Good Neutral Poor
Good Poor
Facilities and Equipment (4) (3) (2)
(5) (1)
1. Adequacy
2. Cleanliness and Orderliness
3.Timeliness
4. Convenience
Other comments or Suggestions:

Very Very
Good Neutral Poor
B. Product/Service/Process Good Poor
(4) (3) (2)
(5) (1)
1. Accuracy /Speed of Service
2. Availability
3.Timeliness
4. Quality
Other comments or Suggestions:

Very Very
Good Neutral Poor
C. Personnel Good Poor
(4) (3) (2)
(5) (1)
1. Courtesy
2. Efficiency
3.Physical Appearance
Other comments or Suggestions:
__________________________________________________________________________________
__________________________________________________________________________________
________________________________________________________
Signature: