Republic of the Philippines

Region VI – Western Visayas

Division of Negros Occidental
Negros Occidental High School
Senior High School
Bacolod City

Parent’s Feedback Form for Teachers with Advisory Class

Dear parent/guardian,

Kindly answer the following questions with all honesty as what you have experienced with the teacher
whose name appears below. Thank you very much!

Class Adviser/ Teacher’s Name:

Advisory Class
(Grade, Strand, and Section):

Name of Student:
Name of Parent:

Ano ang ma hambal mo sa kay Sir/ Maam bilang adviser sang bata mo?

Ano ang ma hambal mo kay Sir/Maam bilang subject teacher sang bata mo?

Ano ang ma hambal mo sa pag follow-up ni Sir/Maam sa pagtuon sang bata mo?

Privacy Notice:

We value and protect your personal information in compliance with the Data Privacy Act of 2012 (RA 10173).
The information you shared will be stored in the files accessible to NOHS SHS Department.

By affixing my signature, I hereby certify that the given information are true and correct to the best of my
knowledge and I allow the Department of Education/Negros Occidental High School to use my details to create
and/or update information shared. The information herein shall be treated as confidential in compliance with
the Data Privacy Act of 2012.

Parent’s Signature Date Accomplished