Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF BACOLOD CITY

Client Feedback Form Control No: _______________

The SCHOOL MANAGEMENT MONITORING & EVALUATION unit, under the Schools Governance & Operations
Division (SGOD), provides technical support in implementing quality management systems in the schools division office,
the schools and learning centers and monitoring adherence to standards and policies towards effective and efficient
delivery of quality basic education and leads districts and schools/ learning centers in the implementation of an M & E
system to monitor their progress. A primary function of the unit is to ensure adherence of all schools (public and private)
to DepEd standards.

We would like to ask for your feedback on the services we provided. Your experience matters to us! In
providing us with your feedback, we will be able to improve our services in the future. Thank you very much.

I. Client Information
Name (Optional): _________________________________________ Date Visited: _____/_____/_____________
Office Visited: ___________________________________________ Phone No. (Optional): _________________
Purpose of Visit (Please specify): _____________________________________________________________________________
Time Started: ___________________________ Time Finished: ________________________

II. Client Satisfaction Rating

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

😀 🙂 😐 ☹ 😦 Not
Very Dissatisfied Very applicable
Satisfied Satisfied Neutral Dissatisfied
1. PHYSICAL
Clients have convenient access for a
comfortable transaction: clean
environment for face-to-face
transaction and/or maximized use of
technology for online transactions.
2. SERVICES
Client’s concerns were addressed
promptly and appropriately.
3. PERSONNEL BEHAVIOR
Client’s concerns were
accommodated with utmost
courtesy, patience and openness.
4. PERSONNEL INTEGRITY
Client’s concerns were treated with
confidentiality and honest personal
assurance for fairness, and trust in
each service provided.
5. OVERALL RATING FOR THE
SERVICE PROVIDED:
Client’s overall satisfaction on the
quality of services provided.

III. Suggestions/Compliments/Comments
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Thank you for your valuable inputs to help us improve our services!