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CSS on Monitoring of Health facilities
In pursuit of Service Excellence, we would like to get your comments/suggestions.  We will appreciate if you can spend a moment to answer this survey.  Thank you.
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Date *
MM
/
DD
/
YYYY
Time *
Time
:
Are you a DOH employee? *
Required
Monitoring Team Members: *
1. Please click on the box of your choice and response using  the rating scale: *
Strongly Agree
Agree
Disagree
Strongly Disagree
The team was courteous and approachable
The Monitoring team was knowledgeable on the indicators and standards
The time allotted for the activity was sufficient to cover all the areas for monitoring
Questions/concerns were appropriately and correctly addresed
The monitoring results are just, honest and objective
2.  As a whole, are you satisfied with the service provided/received? *
3. Comments/Suggestions/Recommendations:
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