Alegria Stand Alone Senior High School - Client

Satisfaction/Feedback Survey Form

Privacy Notice: All information (personally identifiable or otherwise) collected through this survey shall be
used and processed by this school for legitimate purposes in accordance with the Data Privacy Act of 2012
and DepEd’s policies on Data Privacy.

Name (Optional): _____________________________________________________

Purpose of Transaction: (Required) *_____________________________________
Office/Room/Laboratory Transacted With: (Required)*

☐ Principal's Office ☐ Guidance Office ☐ Clinic

☐ Records Office ☐ Computer Laboratory ☐ SBM Office
☐ Supply Office ☐ SSG Office ☐ DRRM
☐ Science Laboratory ☐ H.E/FBS Room ☐ TVL Workshop Room
☐ Library ☐ Canteen ☐ Learning and
Development Office
☐Others: __________

CUSTOMER SATISFACTION RATING: (Required)*

Please use the rating scale below:
1 – Poor (P) 2 – Needs Improvement (NI) 3- Satisfactory (S) 4- Excellent (E)

Criteria * Poor Needs Improvement Satisfactory Excellent

Professionalism and o o o o
friendliness of the
personnel

Promptness and o o o o
timeliness of response
and services

Clarity and conciseness o o o o

of information and
procedures

Ease of doing business o o o o

HOW CAN WE SERVE YOU BETTER?
Please write any suggestions/recommendations/complaints: (Required)*
__________________________________________________________________________________________
____________________________________________________________________________________________
Alegria Stand Alone Senior High School - Client
Satisfaction/Feedback Survey Form
Privacy Notice: All information (personally identifiable or otherwise) collected through this survey shall be
used and processed by this school for legitimate purposes in accordance with the Data Privacy Act of 2012
and DepEd’s policies on Data Privacy.

Name (Optional): _____________________________________________________

Purpose of Transaction: (Required) *_____________________________________
Office/Room/Laboratory Transacted With: (Required)*

☐ Principal's Office ☐ Guidance Office ☐ Clinic

☐ Records Office ☐ Computer Laboratory ☐ SBM Office
☐ Supply Office ☐ SSG Office ☐ DRRM
☐ Science Laboratory ☐ H.E/FBS Room ☐ TVL Workshop Room
☐ Library ☐ Canteen ☐ Learning and
Development Office
☐Others: __________

CUSTOMER SATISFACTION RATING: (Required)*

Please use the rating scale below:
1 – Poor (P) 2 – Needs Improvement (NI) 3- Satisfactory (S) 4- Excellent (E)

Criteria * Poor Needs Improvement Satisfactory Excellent

Professionalism and o o o o
friendliness of the
personnel

Promptness and o o o o
timeliness of response
and services

Clarity and conciseness o o o o

of information and
procedures

Ease of doing business o o o o

HOW CAN WE SERVE YOU BETTER?
Please write any suggestions/recommendations/complaints: (Required)*
__________________________________________________________________________________________
____________________________________________________________________________________________
Alegria Stand Alone Senior High School - Client
Satisfaction/Feedback Survey Form
Privacy Notice: All information (personally identifiable or otherwise) collected through this survey shall be
used and processed by this school for legitimate purposes in accordance with the Data Privacy Act of 2012
and DepEd’s policies on Data Privacy.

Name (Optional): _____________________________________________________

Purpose of Transaction: (Required) *_____________________________________
Office/Room/Laboratory Transacted With: (Required)*

☐ Principal's Office ☐ Guidance Office ☐ Clinic

☐ Records Office ☐ Computer Laboratory ☐ SBM Office
☐ Supply Office ☐ SSG Office ☐ DRRM
☐ Science Laboratory ☐ H.E/FBS Room ☐ TVL Workshop Room
☐ Library ☐ Canteen ☐ Learning and
Development Office
☐Others: __________

CUSTOMER SATISFACTION RATING: (Required)*

Please use the rating scale below:
1 – Poor (P) 2 – Needs Improvement (NI) 3- Satisfactory (S) 4- Excellent (E)

Criteria * Poor Needs Improvement Satisfactory Excellent

Professionalism and o o o o
friendliness of the
personnel

Promptness and o o o o
timeliness of response
and services

Clarity and conciseness o o o o

of information and
procedures

Ease of doing business o o o o

HOW CAN WE SERVE YOU BETTER?
Please write any suggestions/recommendations/complaints: (Required)*
__________________________________________________________________________________________
____________________________________________________________________________________________
Alegria Stand Alone Senior High School - Client
Satisfaction/Feedback Survey Form
Privacy Notice: All information (personally identifiable or otherwise) collected through this survey shall be
used and processed by this school for legitimate purposes in accordance with the Data Privacy Act of 2012
and DepEd’s policies on Data Privacy.

Name (Optional): _____________________________________________________

Purpose of Transaction: (Required) *_____________________________________
Office/Room/Laboratory Transacted With: (Required)*

☐ Principal's Office ☐ Guidance Office ☐ Clinic

☐ Records Office ☐ Computer Laboratory ☐ SBM Office
☐ Supply Office ☐ SSG Office ☐ DRRM
☐ Science Laboratory ☐ H.E/FBS Room ☐ TVL Workshop Room
☐ Library ☐ Canteen ☐ Learning and
Development Office
☐Others: __________

CUSTOMER SATISFACTION RATING: (Required)*

Please use the rating scale below:
1 – Poor (P) 2 – Needs Improvement (NI) 3- Satisfactory (S) 4- Excellent (E)

Criteria * Poor Needs Improvement Satisfactory Excellent

Professionalism and o o o o
friendliness of the
personnel

Promptness and o o o o
timeliness of response
and services

Clarity and conciseness o o o o

of information and
procedures

Ease of doing business o o o o

HOW CAN WE SERVE YOU BETTER?
Please write any suggestions/recommendations/complaints: (Required)*
__________________________________________________________________________________________
____________________________________________________________________________________________