Client Satisfaction Form

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Republic of the Philippine Republic of the Philippine

Province of Davao del Sur Province of Davao del Sur


LUNGSOD NG DIGOS LUNGSOD NG DIGOS
OFFICE OF THE CITY ADMINISTRATOR OFFICE OF THE CITY ADMINISTRATOR

Note: Please write eligibly. Note: Please write eligibly.

CLIENT SATISFACTION SURVEY FORM CLIENT SATISFACTION SURVEY FORM

Date of Visit: _________________ Date of Visit: _________________


NAME OF THE STAFF ATTENDING THE SERVICE: NAME OF THE STAFF ATTENDING THE SERVICE:

______________________________________________ ______________________________________________

Purpose of Office Visit: ___________________________ Purpose of Office Visit: ___________________________


______________________________________________ ______________________________________________
______________________________________________ ______________________________________________

Please check the corresponding box: Yes No Please check the corresponding box: Yes No
1. Is the personnel attended to your   1. Is the personnel attended to your  
concern approachable? concern approachable?
If no, why: _________________________________ If no, why: _________________________________
__________________________________________ __________________________________________
2. Is your transaction being processed on time?   2. Is your transaction being processed on time?  
If no, why: _________________________________ If no, why: _________________________________
__________________________________________ __________________________________________

3. Are you satisfied with the service?   3. Are you satisfied with the service?  
If no, why: _________________________________ If no, why: _________________________________
__________________________________________ __________________________________________

Any suggestions to improve the service: Any suggestions to improve the service:
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________

______________________ ___________________ ______________________ ___________________


Name of Client (Optional) Signature Name of Client (Optional) Signature

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