UP Mindanao Client Survey
University of the Philippines Mindanao
Office of the Chancellor
We would love to know your thoughts on how we can improve your experience!
Date *
MM
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DD
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YYYY
Time
:
Office / Unit *
Advice / Service Needed *
Your answer
I. Client Satisfaction Survey
Friendliness and courtesy of personnel *
Was our personnel friendly, courteous, accommodating? Did the personnel offer other related services needed?
Fair
Excellent
Promptness of Service *
Did our personnel immediately responded to your needs and released information/documents according to expected time?
Fair
Excellent
Quality of Service *
Were your queries and concerns properly addressed? Was the service helpful?
Fair
Excellent
Overall Impression *
Fair
Excellent
II. Feedback and Suggestions
Feedback
Compliments / Complaint / Suggestions
Your answer
Facts or Details on the Incident
Your answer
Suggestion for improvement
What are your recommendations, suggestions and desired action from the office concerned?
Your answer
Your Contact Information
Name
Your answer
Office / Agency / Organization
Your answer
Address
Your answer
Contact Numbers
Your answer
Email Address
Your answer
Gender *
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