Survey Form, Add new record

 *  Date           
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Dear Client,

          We at DILG-Central Office endeavors to consistently provide effective services to meet our client's needs. In this regards, may we request you help us improve our services by allowing us to hear your voice.


           Kindly fill-up this survey form and reflect your impression about our services


                             RATING                       DESCRIPTION OF LEVEL SATISFACTION

                                  5                                                   Very High

                                  4                                                   High

                                  3                                                   Moderate

                                  2                                                   Low

                                  1                                                   Very Low

A. SERVICE PARAMETER

CLIENT SATISFACTION

REMARKS

5   4   3   2   1  
 
5   4   3   2   1  
 
5   4   3   2   1  
 
5   4   3   2   1