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LA SALLE COLLEGE ANTIPOLO

Senior High School (SHS) Department

INFORMATION and COMMUNICATION TECHNOLOGIES (ICT)


Empowerment Technologies
School Year 2017-2018

Survey Satisfaction Form


(for food products)

Name ______________________________________________________________Age____________

5 Student 5 Teacher 5 Staff


Instructions: Circle the letter of your answer

1. On a scale of 1-5, how would you rate the product’s quality?


a. 1 b. 2 c. 3 d. 4 e. 5

2. On a scale of 1-5, how would you rate the product’s taste?


a. 1 b. 2 c. 3 d. 4 e. 5

3. On a scale of 1-5, how would you rate the product’s presentation/packaging?


a. 1 b. 2 c. 3 d. 4 e. 5

4. Are you satisfied with the product?


a. Yes b. No

5. Would you recommend the product to a friend?


a. Yes b. No

6. How much are you willing to pay for this product?


a. P15 and below
b. P16 -25
c. P26-35
d. P36-45
e. P46-50

Suggestions or comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________ ________________

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