Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE 19 97
SAN JUAN DE MORIONES ELEMENTARY SCHOOL
San Juan, Moriones, San Jose, Tarlac

CLIENT SATISFACTION SURVEY FORM

Name of Client (Optional):_________________________________________ Date:________________________

Based on your experience, please rate your satisfaction with the following. Kindly put a check (√)
Neither
Highly Highly
Indicator Satisfied Satisfied nor Dissatisfied
Satisfied Dissatisfied
Dissatisfied
1. Courtesy of school personnel.
2. Promptness in addressing the request.
3. Fairness in dealing with various clients.
4. Accuracy in addressing the request.

Other Feedbacks and Suggestions:

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

Signature of Client: _____________________________________ Date:_______________________________

Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE 19 97
SAN JUAN DE MORIONES ELEMENTARY SCHOOL
San Juan, Moriones, San Jose, Tarlac

CLIENT SATISFACTION SURVEY FORM

Name of Client (Optional):_________________________________________ Date:________________________

Based on your experience, please rate your satisfaction with the following. Kindly put a check (√)
Neither
Highly Highly
Indicator Satisfied Satisfied nor Dissatisfied
Satisfied Dissatisfied
Dissatisfied
1. Courtesy of school personnel.
2. Promptness in addressing the request.
3. Fairness in dealing with various clients.
4. Accuracy in addressing the request.

Other Feedbacks and Suggestions:

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

Signature of Client: _____________________________________ Date:______________________________