CUSTOMER SATISFACTION SURVEY FORM (FOR CUSTOMERS IN THE FIELD)
SEPTEMBER 17 TO OCTOBER 17, 2018
PLEASE HELP US IMPROVE OUR SERVICES BY ANSWERING HONESTLY THE ITEMS LISTED BELOW. KINDLY CHOOSE THE ITEM THAT BEST DESCRIBES YOUR ANSWER. PLEASE SEND THE COMPLETED FORM TO . YOUR ANSWERS WILL BE TREATED WITH CONFIDENTIALITY. THANK YOU....
EVALUATOR *
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DIVISION PERSONNEL WHO VISITED *
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SCHOOL/ AGENCY *
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DATE OF VISIT *
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DATE ACCOMPLISHED *
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DATE ACCOMPLISHED *
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I AM SATISFIED WITH THE TIMELINESS RESPONSE TO THE INQUIRY *
I AM SATISFIED WITH THE TECHNICAL ASSISTANCE PROVIDED *
THE TECHNICAL ASSISTANCE PROVIDED WILL REALLY HELP ME IN THE DISCHARGE OF MY FUNCTION *
I GOT CONSISTENT AND ACCURATE ANSWERS FROM THE PERSONNEL *
THE PERSONNEL SHOWED COURTESY, CONCERN AND CONSIDERATION IN ADDRESSING OUR CONCERNS. *
WRITE YOUR COMMENTS/ SUGGESTIONS FOR THE IMPROVEMENT OF OUR SERVICES (PLEASE AVOID USING THE WORDS SUCH AS NONE, NOTHING, ETC.) *
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