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Monthly Report of Customer Feedback

I. Introduction:
Number of Customers :
Identification of Customers :
Methodology of Distributing the Form :
Purpose of Visit No. of Respondents



II. Highlights of the Findings:
Monthly Report of Summary of Customer Satisfaction Survey Form
ates Covered: !!!!!!!!!!!
III. "nalysis and Interpretation:
I#. Recommendation:
#. "ction $aken%"ction to $ake:
Report Prepared !y:
Report Noted !y:
Date "ubmitted:
D#$ %M" Monthly Report
of Customer Feedbac& Re'. (
&uilding '( San )a*aro Compound( Ri*al "venue( Sta. Cru*( '++, Manila - $runk )ine ./'012++ irect )ine: 1''03/+'
Fa4: 15,0'2637 15,0'12. - 8R): http:%%999.doh.gov.ph7 e0mail: osec:doh.gov.ph
Statement Strongly
Agree
Agree Disagree Strongly
Disagree
Frequen
cy
% Frequen
cy
% Frequen
cy
% Frequen
cy
%
Recei'ed the appropriate ser'ices needed
)imely response *as gi'en
)he staff *as *ell+informed
)he staff *as courteous and approachable
)he ser'ices rendered *ere ,ust- honest and fair
)he *or&place *as clean and organi.ed
#'erall Customer "atisfaction
)otal number of respondents

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