CDTL Questionaire

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CENTRALIAN DRUG TESTING LABORATORY CENTRALIAN DRUG TESTING LABORATORY CENTRALIAN DRUG TESTING LABORATORY

Alfonso Medical Building Alfonso Medical Building Alfonso Medical Building


335, Malvar Street, Puerto Princesa City 335, Malvar Street, Puerto Princesa City 335, Malvar Street, Puerto Princesa City

COMMENT AND SUGGESTION SLIP COMMENT AND SUGGESTION SLIP COMMENT AND SUGGESTION SLIP
QUESTIONAIRE QUESTIONAIRE QUESTIONAIRE

NAME: __________________________ AGE: _____ NAME: __________________________ AGE: _____ NAME: __________________________ AGE: _____
GENDER: _______ Occupation: _______________ GENDER: _______ Occupation: _______________ GENDER: _______ Occupation: _______________
Please spare a few minutes of your valuable time to Please spare a few minutes of your valuable time to Please spare a few minutes of your valuable time to
answer this simple questionnaire. answer this simple questionnaire. answer this simple questionnaire.

PLEASE CHECK THE BOX PROVIDED: PLEASE CHECK THE BOX PROVIDED: PLEASE CHECK THE BOX PROVIDED:
1 – POOR 2- NEEDS IMPROVEMENT 3- SATISFACTORY 1 – POOR 2- NEEDS IMPROVEMENT 3- SATISFACTORY 1 – POOR 2- NEEDS IMPROVEMENT 3- SATISFACTORY
4- VERY SATISFACTORY 5 – EXCELLENT 4- VERY SATISFACTORY 5 – EXCELLENT 4- VERY SATISFACTORY 5 – EXCELLENT
……………………………………………… ……………………………………………… ………………………………………………
HOW DO YOU ASSESS THE FOLLOWING? HOW DO YOU ASSESS THE FOLLOWING? HOW DO YOU ASSESS THE FOLLOWING?

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
OUR SERVICES      OUR SERVICES      OUR SERVICES     
PERSONNEL      PERSONNEL      PERSONNEL     
RELEASING OF RESULTS ON TIME      RELEASING OF RESULTS ON TIME      RELEASING OF RESULTS ON TIME     
CLEANLINESS OF THE AREA      CLEANLINESS OF THE AREA      CLEANLINESS OF THE AREA     
VENTILATION      VENTILATION      VENTILATION     
DO YOU HAVE ANY SUGGESTION OR COMMENT FOR US TO IMPROVE DO YOU HAVE ANY SUGGESTION OR COMMENT FOR US TO IMPROVE DO YOU HAVE ANY SUGGESTION OR COMMENT FOR US TO IMPROVE
OUR SERVICES TOP SERVE YOU BETTER? OUR SERVICES TOP SERVE YOU BETTER? OUR SERVICES TOP SERVE YOU BETTER?
________________________________________________________________ ________________________________________________________________ ________________________________________________________________
________________________________________________________________ ________________________________________________________________ ________________________________________________________________
________________________________________________________________ ________________________________________________________________ ________________________________________________________________

________________ __________________ ________________ __________________ ________________ __________________


Signature Date Signature Date Signature Date

THANK YOU VERY MUCH! THANK YOU VERY MUCH! THANK YOU VERY MUCH!

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