Reference No.: OMSC-Form-IME-01 Effectivity Date: August 03, 2022 Revision No.

04

Republic of the Philippines

OCCIDENTAL MINDORO STATE COLLEGE
 
Sablayan, Occidental Mindoro
Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
  Tele/Fax: (043) 457-0231

 
CUSTOMER SATISFACTORY SURVEY

(Name of Office/Unit)
I. CLIENT
 
INFORMATION II. CLIENT SATISFACTORY EVALUATION
Kindly rate the service provided by checking the appropriate box with 5 being the highest and 1 being the
Kindly fill out this form corresponding to your answer. lowest. (5-Very Satisfied, 4-Satisfied, 3-Moderately Satisfied, 2-Dissatisfied, 1- Very Dissatisfied)

Name (optional): INDICATORS OF SATISFACTION 5 4 3 2 1

Contact Number (optional): A. Responsiveness-Willingness to help assist, and provide prompt
Date: service.
B. Reliability-Provision of what was needed and what was promised, in
Person Visited: accordance with the policy and standard, with zero to a minimal error rate.
C. Access and Facilities (for walk-in only)- Convenience of location,
Sex: Category of Privileged Lane ample amenities for a comfortable transaction, and the use of clear
Age: _____
Male Senior Citizen signage’s and modes of technology.
Female Person with Disability D. Communication- Act of keeping citizens and business informed in
Not Applicable any language they can easily understand, as well as listening to their
Type of Citizen feedback.
General Public (students, parents, others) E. Costs -Satisfaction with timeliness of the billing, billing process/es,
OMSC Faculty/Employee preferred methods of payment period, value for money, acceptable range
Business/Organization of costs, and qualitative information on the cost of each service.
F. Integrity- Capability of frontline staff/s to perform their duties,
product and service knowledge, understanding client needs, helpfulness,
Type of Transaction and good work relationships.
Inquiry Submission of Documents
G. Assurance- Assurance that there is honesty, justice, fairness, and
Enrollment Concerns Request of Service
trust in each service while dealing with the clients and business.
Request of Documents Cash Transactions
(payment, etc.) H. Outcome- Rate in terms of achieving outcomes or realizing the
intended benefits of the service.
Others (please give
III. Please specify):
your____________________________
comments/suggestions that the OMSC may improve its service in the following areas. Thank you!

r inquiries and feedback, you may contact the OMSC Institutional Monitoring and Evaluation Office at omscmonitoringandevaluation@gmail.com

Reference No.: OMSC-Form-IME-01 Effectivity Date: August 03, 2022 Revision No. 04

 
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
 
Sablayan, Occidental Mindoro
Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
  Tele/Fax: (043) 457-0231
 

CUSTOMER SATISFACTORY SURVEY

(Name of Office/Unit)

I. CLIENT
  INFORMATION II. CLIENT SATISFACTORY EVALUATION
Kindly rate the service provided by checking the appropriate box with 5 being the highest and 1 being the
Kindly fill out this form corresponding to your answer. lowest. (5-Very Satisfied, 4-Satisfied, 3-Moderately Satisfied, 2-Dissatisfied, 1- Very Dissatisfied)
Name (optional): INDICATORS OF SATISFACTION 5 4 3 2 1
Contact Number (optional): A. Responsiveness-Willingness to help assist, and provide prompt
Date: service.
B. Reliability-Provision of what was needed and what was promised, in
Person Visited: accordance with the policy and standard, with zero to a minimal error rate.
C. Access and Facilities (for walk-in only)- Convenience of location,
Age: _____ Sex: Category of Privileged Lane ample amenities for a comfortable transaction, and the use of clear
Male Senior Citizen signage’s and modes of technology.
Female Person with Disability D. Communication- Act of keeping citizens and business informed in
Not Applicable any language they can easily understand, as well as listening to their
Type of Citizen feedback.
General Public (students, parents, others) E. Costs -Satisfaction with timeliness of the billing, billing process/es,
OMSC Faculty/Employee preferred methods of payment period, value for money, acceptable range
Business/Organization of costs, and qualitative information on the cost of each service.
F. Integrity- Capability of frontline staff/s to perform their duties,
product and service knowledge, understanding client needs, helpfulness,
Type of Transaction
and good work relationships.
Inquiry Submission of Documents
Enrollment Concerns Request of Service
G. Assurance- Assurance that there is honesty, justice, fairness, and
Request of Documents Cash Transactions trust in each service while dealing with the clients and business.
(payment, etc.) H. Outcome- Rate in terms of achieving outcomes or realizing the
intended benefits of the service.
Others (please give
III. Please specify):
your____________________________
comments/suggestions that the OMSC may improve its service in the following areas. Thank you!
 Reference No.: OMSC-Form-IME-01 Effectivity Date: August 03, 2022 Revision No. 04

Republic of the Philippines

OCCIDENTAL MINDORO STATE COLLEGE
Sablayan, Occidental Mindoro
 
Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
Tele/Fax: (043) 457-0231
 

  SURBEY SA KASIYAHAN NG KLIYENTE

 
(Name of Office/Unit)
I. CLIENT
  INFORMATION II. CLIENT SATISFACTORY EVALUATION
Kindly rate the service provided by checking the appropriate box with 5 being the highest and 1 being the
Kindly fill out this form corresponding to your answer. lowest. (5-Very Satisfied, 4-Satisfied, 3-Moderately Satisfied, 2-Dissatisfied, 1- Very Dissatisfied)
Pangalan ng Kliyente: INDICATORS OF SATISFACTION 5 4 3 2 1
Contact Number A. Pagtugon
(optional): Handang tumugon at magbigay ng mabilis na serbisyo sa kliyente.
Petsa: B. Maaasahan
Pangalan ng empleyado Mahusay na magbibigay ng serbisyo ayon sa itinakdang pamantayan.
na binisita: C. Lokasyon at Pasilidad
Mabilis mapuntahan ang lugar at magamit ang pasilidad sa pamamagitan
ng malinas na karatula.
Age: _____ Sex: Category of Privileged Lane D. Pakikipag-usap
Male Senior Citizen Pakikipag-ugnayan sa kliyente sa paraang malinaw at nauunawaan
Female Person with Disability kasama ang mga opinion at puna.
Not Applicable E. Gastos
Type of Citizen Kontento sa serbisyong natanggap at sa halagang naging katumbas o
General Public (students, parents, others) binayaran.
OMSC Faculty/Employee F. Katapatan
Business/Organization Kasiguruhan na gampanan ang tungkulin, na may kaalaman sa serbisyo,
pag-unawa sa pangangailangan ng kliyente, matulungin at maayos na
Type of Transaction ugnayan sa trabaho.
Inquiry Submission of Documents G. Pagtitiwala
Enrollment Concerns Request of Service Pagtiyak sa serbisyong may katapatan, hustisya, patas at tiwala sa
Request of Documents Cash Transactions hakbang ng pakikipag-ugnayan sa kliyente.
(payment, etc.) H. Outcome
Markahan ang pangkalahatang serbisyo na natanggap.
Others (please specify): ____________________________
III. Please give your comments/suggestions that the OMSC may improve its service in the following areas. Thank you!

or inquiries and feedback, you may contact the OMSC Institutional Monitoring and Evaluation Office at omscmonitoringandevaluation@gmail.com

Reference No.: OMSC-Form-IME-01 Effectivity Date: August 03, 2022 Revision No. 04

Republic of the Philippines

OCCIDENTAL MINDORO STATE COLLEGE
Sablayan, Occidental Mindoro
Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
Tele/Fax: (043) 457-0231
 

SURBEY SA KASIYAHAN NG KLIYENTE

 
 
(Name of Office/Unit)
I. CLIENT
  INFORMATION II. CLIENT SATISFACTORY EVALUATION
Kindly rate the service provided by checking the appropriate box with 5 being the highest and 1 being the
Kindly fill out this form corresponding to your answer. lowest. (5-Very Satisfied, 4-Satisfied, 3-Moderately Satisfied, 2-Dissatisfied, 1- Very Dissatisfied)
Pangalan ng Kliyente: INDICATORS OF SATISFACTION 5 4 3 2 1
Contact Number A. Pagtugon
(optional): Handang tumugon at magbigay ng mabilis na serbisyo sa kliyente.
Petsa: B. Maaasahan
Pangalan ng empleyado Mahusay na magbibigay ng serbisyo ayon sa itinakdang pamantayan.
na binisita: C. Lokasyon at Pasilidad
Mabilis mapuntahan ang lugar at magamit ang pasilidad sa pamamagitan
ng malinas na karatula.
Age: _____ Sex: Category of Privileged Lane D. Pakikipag-usap
Male Senior Citizen Pakikipag-ugnayan sa kliyente sa paraang malinaw at nauunawaan
Female Person with Disability kasama ang mga opinion at puna.
Not Applicable E. Gastos
Type of Citizen Kontento sa serbisyong natanggap at sa halagang naging katumbas o
General Public (students, parents, others) binayaran.
OMSC Faculty/Employee F. Katapatan
Business/Organization Kasiguruhan na gampanan ang tungkulin, na may kaalaman sa serbisyo,
pag-unawa sa pangangailangan ng kliyente, matulungin at maayos na
Type of Transaction ugnayan sa trabaho.
Inquiry Submission of Documents G. Pagtitiwala
Enrollment Concerns Request of Service Pagtiyak sa serbisyong may katapatan, hustisya, patas at tiwala sa
Request of Documents Cash Transactions hakbang ng pakikipag-ugnayan sa kliyente.
(payment, etc.) H. Outcome
Markahan ang pangkalahatang serbisyo na natanggap.
Others (please specify): ____________________________
III. Please give your comments/suggestions that the OMSC may improve its service in the following areas. Thank you!
or inquiries and feedback, you may contact the OMSC Institutional Monitoring and Evaluation Office at omscmonitoringandevaluation@gmail.com