CUSTOMER FEEDBACK FORM

Thank you for visiting the Municipal Hall and availing of our services. Because we want to serve you better, please answer the questions relevant to your visit:
Name
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Address
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Department/Office Visited
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Date and Time of Visit
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OUR OFFICE
Is the office easy to locate?
Is the office clean and orderly?
Did you feel comfortable?
Was there an appropriate signage of direction?
OUR SERVICE PROVIDER
Is the employee-in-charge available?
Is the employee-in-charge knowledgeable?
Is the employee-in-charge accommodating?
Were you entertained properly?
Were your needs attended to promptly?
Can you easily identify the service provider (with ID, Nameplate, etc.)
REQUIREMENTS
Were you made aware of the requirements?
Were there additional requirements aside from those listed In the Citizen's Charter?
Were you given proper information on how to get the requirements?
Were you made aware of the fees you will pay?
OUR OFFICERS
Were the authorized official/s available?
Did it take him/them long to sign the document?
Nagpa-importante ba?
OUR INFORMATION
Is the needed document available?
Is the documents properly filled-up or accomplished?
Are instructions clear, brief and concise?

Other Comments/Suggestions:
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Thank you very much.
PLEASE DROP AT THE SUGGESTION BOX LOCATED AT THE LOBBY OF THE MUNICIPAL HALL, ASINGAN, PANGASINAN

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