Department of Education

Schools Division of Tarlac

STA. ROSA NATIONAL HIGH SCHOOL

CLIENT’S SATISFACTION SURVEY

We, in SRNHS, would like to improve the delivery of our services based on your feedback.

Please fill-out this Feedback Form and submit it to our Officer-In-Charge. Rest assured your responses
will be dealt with confidentiality under Data Privacy Act R.A. No. 10173

Overall Rating

__Oustanding (O) ___Very Satisfied(VS) ___ Satisfied(S) __Dissatisfied(D) ___Very Dissatisfied(VD)

In answering, please check the appropriate space of your choice, whenever applicable. (Paki lagyan ng tsek
ang napiling sagot sa tanong.)

O VS S D VD o Quality of Service Kalidad sa Proseso sa Serbisyo (5) (4 (3) (2) (1)

a. PROSESO
o Organized and Easy to follow ___ ___ ___ ___ ___ (Organisado at madaling sundan ang
proseso)
o Client’s comfort is given utmost concern ___ ___ ___ ___ ___ (Pinagtuunang pansin ang
mga pangangailangan ng mga magulang )

o Client’s concerns were addressed promptly ___ ___ ___ ___ ___ (Tinugonan ng maayos
ang mga katanungan ng mga magulang)

b. PERSONNEL/
o Courtesy ___ ___ ___ ___ ___ (Kabutihang loob)
o Responsiveness ___ ___ ___ ___ ___ (Pagtugon sa mga katanungan)
o Competence ___ ___ ___ ___ ___ (Kakayanan sa pagtugon)
o Accuracy and Adequacy information given ___ ___ ___ ___ ___ (Kawastuhan at sapat na
impormasyon)

Personal and Other Information EXTERNAL CLIENT

Date: _____________________________
Name: (Optional)_______________________________
Purpose of Transaction: ______________________________________
Office Transacted with.: _____________________ Gender:
_____________________
Please suggest ways by which we can improve our process and on how our personnel attend to your
needs. Maari kayong magbigay ng inyong suhestyon upang mapagbuti pa namin ang aming serbisyo
kung papaano namin matutugunan ang inyong mga pangangailangan.
______________________________________________________________________________
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 SCHOOL ACTIVITY FEEDBACK FORM
Name (optional):
_______________________________________________ Activity
Organizer: _____________________________________________

Title of the Activity: _____________________________________________

______________________________________________________________

Date: ____________________________Venue: ________________________

Instruction: Encircle the number that corresponds to your rating of the activity conducted.
Criteria Ratings

Stron Agree Disagree Stron

gly gly
Agree Disagr
ee

4 3 2 1

1. The activity started and ended 4 3 2 1

on time. (Ang aktibidad ay
nagsimula at natapos sa
takdang oras)

2. Meets activity’s purpose. 4 3 2 1

(Nakamit ang pakay ng aktibidad)

3. Events and activities were in 4 3 2 1

sequence. (Maayos na naipresenta
ang mga pakay sa aktibidad)

4. Venue and ventilation were taken 4 3 2 1

into consideration. ( Maayos na pinag
handaan ang lugar ng pagpupulong)

5. Participants followed the set rules 4 3 2 1

and regulations. ( Nasunod ng mga
dumalo ang panuntunan sa
pagpupulong)

6. Purposes were communicated 4 3 2 1

clearly( Maayos at malinaw ang
paghahayag)

7. Fulfillment of the assigned tasks 4 3 2 1

( Naisakatuparan ang mga
itinalagang gawain )

8. Maintained participants interest 4 3 2 1

( Napanatili ang interes ng mga dumalo)

9. Well Prepared ( Maayos ang ginawang 4 3 2 1

paghahanda)

MEETING FEEDBACK: Please write your comments, suggestions, recommendations about the conduct of
the meeting.
 SCHOOL MEETNG FEEDBACK FORM

Name (optional):
_______________________________________________ Activity
Organizer: ______________________________________________ Title of
the Activity: _____________________________________________
_____________________________________________________________
_ Date: ____________________________Venue:
________________________

Instruction: Encircle the number that corresponds to your rating of the activity conducted.

Criteria Ratings Strongly

Agree Disagree Strongly
Agree
Disagree
4321
A. The meeting was well-planned
1. Members were notified/ informed in
4321
advance.
2. There was a pre-arranged agenda. 4 3 2 1 B. The meeting was properly
organized
1. The meeting started and ended on t
4321
ime
2. The meeting observed proper
4321
parliamentary procedure.
3. Discussion and deliberation of the
4321
agenda were clearly presented.
4. All concerns, clarifications and
4321
questions were all attended to.
5. The meeting was properly
4321
documented.

MEETING FEEDBACK: Please write your comments, suggestions, recommendations about the
conduct of the meeting.
 STAKEHOLDER’S MEETING FEEDBACK FORM
_________________

Name (optional):
_______________________________________________ Activity
Organizer: ______________________________________________ Title of
the Activity: _____________________________________________
_____________________________________________________________
_ Date: ____________________________Venue:
________________________

Instruction: Encircle the number that corresponds to your rating of the activity conducted.

Criteria Ratings Strongly

Agree Disagree Strongly
Agree
Disagree
4321
A. The meeting was well-planned
1. Members were notified/ informed in
4321
advance.
2. There was a pre-arranged agenda. 4 3 2 1 B. The meeting was properly
organized
1. The meeting started and ended on
4321
Time.
2. The meeting observed proper
4321
parliamentary procedure.
3. Discussion and deliberation of the
4321
agenda were clearly presented.
4. All concerns, clarifications and
4321
questions were all attended to.
5. The meeting was properly
4321
documented.