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Department of Education: Republic of The Philippines

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Republic of the Philippines

Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
buyo elementary school
pio duran

CLIENT FEEDBACK FORM

I. Client’s Information

Name (Optional): ______________________________Date Visited: _________


Contact Number (Optional): ___________________ Time: ____________
Purpose of Visit (Please Specify):
________________________________________________________________________
________________________________________________________________________

II. Client Satisfaction Rating

Kindly rate the quality of service provided by checking (√) the appropriate
box.
Dissatisfied Neutral Satisfied Very
Satisfied
Very
Dissatisfie
d
1. PHYSICAL
The environment is
clean and orderly
2. SERVICES
Your concern was
addressed
promptly and
appropriately
3. PERSONNEL
The employee was
courteous and
accommodating
*OVERALL RATING FOR
THE SERVICE
PROVIDED:
How satisfied are you
with the quality of
services provided?

III. Suggestions/Compliments/Comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Buyo Pio duran Albay


09155061275
111952@deped.gov.ph
Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
buyo elementary school
pio duran

Thank you for your valuable input to help us continuously improve our
service!

Buyo Pio duran Albay


09155061275
111952@deped.gov.ph

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