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Republic of the Philippines

Department of Education
REGION XIII - CARAGA REGION
SCHOOLS DIVISION OF SURIGAO CITY
SURIGAO CITY PILOT SCHOOL
SURIGAO CITY

SCHOOL CLIENT SATISFACTION SURVEY

CONTROL NO: ___

I - Client’s Information

Ngayan (Optional) :_____________________________ Petsa sa pagbisita: ________________


Katujoan sa pagbisita: __________________________ Phone Number: __________________

II – Client Satisfaction Rating

Kindly rate the quality of service provided by checking ( ) the appropriate box.

Very Dissatisfied Neutral Satisfied Very


Dissatified (2) (3) (4) Satisfied
(1) (5)

1. PISIKAL. Hinlo sanan plastar an lugar


nan opisina.

2. SERBISYO. Natubag nan sakto an


mga katujoan sanan dali natagad.

3. EMPLEYADO. Matinahuron sanan


maabe-abihon an empleyado.

OVERALL RATING FOR THE SERVICE


PROVIDED. How satisfied are you with the
quality of services provided?

III – Sugyot/ Pagdayeg/ Komentaryo


____________________________________________________________________________________
____________________________________________________________________________________
__________________________.

DAGHANG SALAMAT SA IJU MAKANUNAYONG SUPORTA.

Privacy Notice
The personal information included in this document should only used for the purposes of administering the survey.
Any personal information included herein may not be used for other purposes aside from those stated above

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Address: Narciso Street, Brgy. Taft, Surigao City
Telephone No: 086-826-1230 / 086-310-9149
Sustaining Culture of excellence in a highly Performing School

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