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Client Satisfaction Form PDF

The document is a client satisfaction survey from the Municipality of Pinamalayan, Province of Oriental Mindoro. It asks clients questions about the frequency and types of services availed from the municipal office in the past 12 months. Respondents are asked to rate their satisfaction with various aspects of the services like quality, staff professionalism, timeliness and awareness on a scale from very satisfied to very unsatisfied. Finally, respondents are asked to provide an overall satisfaction rating for services received in the past 12 months and to include their name and address.

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Lyn Tabelisma Ozar
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Download as PDF, TXT or read online on Scribd
694 views

Client Satisfaction Form PDF

The document is a client satisfaction survey from the Municipality of Pinamalayan, Province of Oriental Mindoro. It asks clients questions about the frequency and types of services availed from the municipal office in the past 12 months. Respondents are asked to rate their satisfaction with various aspects of the services like quality, staff professionalism, timeliness and awareness on a scale from very satisfied to very unsatisfied. Finally, respondents are asked to provide an overall satisfaction rating for services received in the past 12 months and to include their name and address.

Uploaded by

Lyn Tabelisma Ozar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Province of Oriental Mindoro


MUNICIPALITY OF PINAMALAYAN
OFFICE OF THE MUNICIPAL ADMINISTRATOR

CLIENT SATISFACTION QUESTIONS


1. In past 12 months, how frequently have you availed services from our office?

Weekly
Monthly
Every 3-6 months
Every 6 months or less
2. Which of the following services have you availed?
Issuance of Certificate of Appearance (CA)
Issuance of Permit for the Use of Gymnasium
Issuance of Permit for the Use of Manpower Development and Training Center and Conference
Room, Multi-Purpose Covered Court, Municipal Plaza and Municipal Park
Provision of a Copy of Legal Document
Review and Controlling of Purchase Order and Disbursement Voucher (DV)
Review and Recommendation of Application for Leave
Signing of Daily Time Record of Head of Office

3. How would you rate your satisfaction with the following aspects of the services you have availed?

Very Satisfied Unsatisfied Very Not Sure


Satisfied Satisfied
Quality of services
provided
Professionalism and
courtesy of staff
Timeliness of services
provided
Awareness of the service

4. Kindly rate your overall satisfaction with the services you received or availed in the past 12 month

Very Satisfied
Satisfied
Unsatisfied
Very unsatisfied
Not sure

NAME OF RESPONDER : _________________________________________________


ADDRESS : _________________________________________________

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