Republic of the Philippines ___________________________________________________________________________

PROVINCE OF BUKIDNON Republic of the Philippines

MUNICIPALITY OF MARAMAG PROVINCE OF BUKIDNON
OFFICE OF THE MUNICIPAL MAYOR MUNICIPALITY OF MARAMAG
Mobile Phone No. 0917-321-6845 Email: lgu_maramag8714@yahoo.com Website: www.maramag.gov.ph OFFICE OF THE MUNICIPAL MAYOR
Mobile Phone No. 0917-321-6845 Email: lgu_maramag8714@yahoo.com Website: www.maramag.gov.ph

CUSTOMER SATISFACTION SURVEY FORM

(LGU-Maramag’s Issuance of Business Permit) CUSTOMER SATISFACTION SURVEY FORM
(LGU-Maramag’s Issuance of Business Permit)
Name: (Optional) ________________________________ Date filled-
out_______________ Name: (Optional) _______________________________ Date filled-
Service/Assistance Requested/Received: Business Permit out________________
Responsible Office: Municipal Government of Maramag, Bukidnon Service/Assistance Requested/Received: Business Permit
Responsible Office: Municipal Government of Maramag, Bukidnon
Dear Client,
Dear Client,
We at the Municipal Government of Maramag, Bukidnon endeavors to consistently
provide effective services to meet our client’s needs. In this regard, may we request you to We at the Municipal Government of Maramag, Bukidnon endeavors to consistently
provide feedback on the level of satisfaction on the services provided, to enable us to identify provide effective services to meet our client’s needs. In this regard, may we request you to
areas for improvement, if any. provide feedback on the level of satisfaction on the services provided, to enable us to identify
areas for improvement, if any.
Kindly fill-up this survey form and reflect your impression about our services.
Encircle the rating that corresponds to your satisfaction level. Kindly fill-up this survey form and reflect your impression about our services.
Encircle the rating that corresponds to your satisfaction level.
Rating Scale Description of Level of Satisfaction
5 Very High Rating Scale Description of Level of Satisfaction
4 High 5 Very High
3 Moderate 4 High
2 Low 3 Moderate
1 Very Low 2 Low
1 Very Low
A. Service Parameter Client Satisfaction Remarks
A. Service Parameter Client Satisfaction Remarks
1. Service Quality 5 4 3 2 1 ______________________
1. Service Quality 5 4 3 2 1 ______________________
2. Service Timeliness 5 4 3 2 1 ______________________
2. Service Timeliness 5 4 3 2 1 ______________________
3. Staff Responsiveness 5 4 3 2 1 ______________________
3. Staff Responsiveness 5 4 3 2 1 ______________________
B. Overall Impression 5 4 3 2 1 ______________________
C. Remarks/Suggestion for Improvement B. Overall Impression 5 4 3 2 1 ______________________
___________________________________________________________________________ C. Remarks/Suggestion for Improvement
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