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    PR-RAI-001 - Feedback Form

    Uploaded by

    Paul Niño Tabigne
    This document contains a customer feedback form for the Guidance and Counseling Office of Camiguin Polytechnic State College in the Philippines. The form asks customers to rate their satisfaction with the office's processes, frontline personnel, and facilities. Customers are asked to rate their satisfaction on a scale of 1 to 4, or mark "N/A", for categories such as completeness of transactions, fairness of fees, employee knowledge, and cleanliness of the office. Space is also provided for additional comments, suggestions, or complaints.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PR-RAI-001 - Feedback Form

    Uploaded by

    Paul Niño Tabigne
    24 views1 page
    This document contains a customer feedback form for the Guidance and Counseling Office of Camiguin Polytechnic State College in the Philippines. The form asks customers to rate their satisfaction with the office's processes, frontline personnel, and facilities. Customers are asked to rate their satisfaction on a scale of 1 to 4, or mark "N/A", for categories such as completeness of transactions, fairness of fees, employee knowledge, and cleanliness of the office. Space is also provided for additional comments, suggestions, or complaints.

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    PR-RAI-001 -Feedback Form

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    This document contains a customer feedback form for the Guidance and Counseling Office of Camiguin Polytechnic State College in the Philippines. The form asks customers to rate their satisfaction with the office's processes, frontline personnel, and facilities. Customers are asked to rate their satisfaction on a scale of 1 to 4, or mark "N/A", for categories such as completeness of transactions, fairness of fees, employee knowledge, and cleanliness of the office. Space is also provided for additional comments, suggestions, or complaints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views1 page

    PR-RAI-001 - Feedback Form

    Uploaded by

    Paul Niño Tabigne
    This document contains a customer feedback form for the Guidance and Counseling Office of Camiguin Polytechnic State College in the Philippines. The form asks customers to rate their satisfaction with the office's processes, frontline personnel, and facilities. Customers are asked to rate their satisfaction on a scale of 1 to 4, or mark "N/A", for categories such as completeness of transactions, fairness of fees, employee knowledge, and cleanliness of the office. Space is also provided for additional comments, suggestions, or complaints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines Republic of the Philippines

    Camiguin Polytechnic
    CUSTOMER’S State College
    FEEDBACK FORM Camiguin Polytechnic
    CUSTOMER’S State College
    FEEDBACK FORM
    Balbagon, 9100 Mambajao, Camiguin Balbagon, 9100 Mambajao, Camiguin
    TelFax(088)3870495│www.cpsc.edu.ph│camiguinpolytec TelFax(088)3870495│www.cpsc.edu.ph│camiguinpolytec
    hnic@yahoo.commm hnic@yahoo.commm
    GUIDANCE & COUNSELING OFFICE GUIDANCE & COUNSELING OFFICE

    ___Student ____Faculty ____Staff ___Student ____Faculty ____Staff


    ____Visitor ____Visitor

    Date: ____________________ Time: Date: ____________________ Time:


    _________________ _________________

    Transaction/Purpose: Please check any of the following Transaction/Purpose: Please check any of the following
    below: below:
    ____Follow-up ____Personal Visit ____Follow-up ____Personal Visit
    ____Consultation ____Inquiry ____Consultation ____Inquiry
    ____Request/Submission of document Others: ____Request/Submission of document Others:
    _______________ _______________

    Kindly evaluate the services rendered based on the level of Kindly evaluate the services rendered based on the level of
    your satisfaction by ticking the box with: your satisfaction by ticking the box with:
    4 – Very Satisfied 2 – Dissatisfied N/A 4 – Very Satisfied 2 – Dissatisfied N/A
    – Not – Not
    3 – Satisfied 1 – Very Dissatisfied Applicable 3 – Satisfied 1 – Very Dissatisfied Applicable

    A. PROCESS/TRANSACTION 4 3 2 1 N/A A. PROCESS/TRANSACTION 4 3 2 1 N/A


    1. Completion within the prescribed time. 1. Completion within the prescribed time.
    2. Fairness on the required transaction cost/fees. 2. Fairness on the required transaction cost/fees.
    3. Consistency on the required documents. 3. Consistency on the required documents.
    4. Clarity and simplicity of the process/procedure. 4. Clarity and simplicity of the process/procedure.
    5. Information is clear. 5. Information is clear.

    Name of Attending Employee: ____________________________________ Name of Attending Employee: ____________________________________

    B. FRONTLINE PERSONNEL 4 3 2 1 N/A B. FRONTLINE PERSONNEL 4 3 2 1 N/A


    1. Attends to my needs and concerns in a courteous manner. 1. Attends to my needs and concerns in a courteous manner.
    2. Treats me with fairness and objectivity. 2. Treats me with fairness and objectivity.
    3. Knowledgeable and competent. 3. Knowledgeable and competent.
    4. Performs duties with professionalism. 4. Performs duties with professionalism.
    5. Treats me with utmost friendliness and politeness. 5. Treats me with utmost friendliness and politeness.
    6. Shows empathy towards the clients. 6. Shows empathy towards the clients.

    C. FACILITIES 4 3 2 1 N/A C. FACILITIES 4 3 2 1 N/A


    1. The office is clean and organized. 1. The office is clean and organized.
    2. The office has seats and space for queuing. 2. The office has seats and space for queuing.
    3. The office signage and process flow are posted to 3. The office signage and process flow are posted to
    inform or guide the clienteles. inform or guide the clienteles.
    4. The office is well-ventilated. 4. The office is well-ventilated.
    5. The personnel are polite, friendly & accommodating. 5. The personnel are polite, friendly & accommodating.

    COMMENTS/SUGGESTIONS: COMMENTS/SUGGESTIONS:
    _______________________________________________________ _______________________________________________________
    _______________________________________________________ _______________________________________________________
    ____________________________________________________ ____________________________________________________

    COMPLAINTS: COMPLAINTS:
    _______________________________________________________ _______________________________________________________
    _______________________________________________________ _______________________________________________________
    ____________________________________________________ ____________________________________________________
    Thank you and God bless! Thank you and God bless!

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