LEARNING SERVICE EVALUATION FORM FOR CUSTOMERS

Name of School:_____________________________________________________________________________
Name (Optional): ____________________________________________ Date:__________________________

Instructions: Please rate the following indicators of the learning service using the scale below (1 being the
lowest and 5 being the highest). Put a check (✔) mark on the box that corresponds to your level of agreement.
Rest assured data gathered will be kept with utmost confidentiality.

Scale Descriptive Rating

5 Strongly Agree (SA)
4 Agree (A)
3 Neither Agree nor Disagree (N)
2 Disagree (D)
1 Strongly Disagree (SD)
SA A N D SD
Indicators 5 4 3 2 1
1. The objectives of the work immersion program are clearly
defined.          
2. The delivery of work immersion program meets my
expectations.
3. The learning environment is conducive to every learner.
         
4. The resolution of my concerns is satisfactory.
         
5. The submission of documents (e.g. grades, certificates, and
MOA) is on time.

Instructions: Please answer the following questions. Put a check (✔) mark on the box that corresponds to your
answer.

6. Would you recommend the work immersion program to other schools?

Yes No. Please state your reason
__________________________________________________________

7. What is your overall rating to the work immersion program?

Outstanding Very Satisfactory Satisfactory Fair Poor

8. What I do not like about the work immersion program is/are

_______________________________________________________________________________________
_______________________________________________________________________________________

9. What I like about the work immersion program is/are

The one that I like the most about the work immersion programs is that they helped
students/learners to experience the real challenges outside the four corners of the rooms. They
helped the students to be more productive and responsible in their work. They produce learners
with skills that will enable them to face the global competitiveness beyond the classrooms.

10. Maybe next time CREOTEC Philippines would

_______________________________________________________________________________________
_______________________________________________________________________________________