CLIENT SATISFACTION SURVEY (AP:03-00-FO-19 rev. 02 070115)
Please let us know how you feel about our services. Your inputs and recommendations are important to us, as we want our clients to be always happy.
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Name of the Personnel being Evaluated:
Your answer
Department/Office:
Your answer
Service availed/requested:
Your answer
Client Category
Part 1. Client Satisfaction
Kindly indicate your level of satisfaction using the following scale:
1- Highly Unsatisfactory
2- Unsatisfactory
3- Neutral
4- Satisfactory
5- Highly satisfactory
How would you rate the overall service that you received?
THE PERSONNEL
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5
The personnel immediately greets and offers assistance.
The personnel recognizes and responds to my needs, concerns, and interest.
The personnel is friendly, cheerful, courteous, and respectful throughout the interaction.
The personnel speaks distinctly and audibly.
The personnel offers pertinent advice/recommendation.
The personnel is presentable and well-groomed.
THE SERVICE/DOCUMENT
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2
3
4
5
The service/document requested was provided on time.
The service/document provided was of quality (accurate and error-free).
Comments and Suggestions
Note: Should you have comments and suggestions, kindly fill-up Part 2 of this form to further elaborate the areas for improvement.
Your answer
Quality Improvement Suggestion System (QUISS)
QUISS is a formalized mechanism which encourages students and stakeholders to contribute constructive ideas for improving any processes of the department or office of the Colegio. This part of the CSS form may be accomplished by those who did not avail of any services of the Colegio but would like to bring out areas for improvement.
Name:
Your answer
Address
Your answer
Email Address
Your answer
Contact Number
Your answer
1. To which department /office would you recommend this suggestion?
Your answer
2. Describe the situation or process to be improved. Please be specific.
Your answer
3. What is your proposed solution/suggestion so as to address the concern?
Your answer
4. What do you think would be the benefit of your suggestion?
Thank you :-)
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