Republic of the Philippines

Department of Education
Region IV A – CALABARZON
Division of Rizal
CARDONA SENIOR HIGH SCHOOL

Name of Teacher being assessed: __________________________________________________________________

Name:____________________________________________________________ Date:_______________________________
Contact No.:____________________________________ Email:_______________________________________________
Purpose of Visit:
_________________________________________________________________________________________________________
Please put a check mark (/) on the item corresponding to your answer using the given scale below.
5 - Excellent
4 - very satisfactory
3 - Satisfactory
2 - Unsatisfactory
1 - Needs Improvement
5 4 3 2 1
1. How well you serve during the visit in terms of the following:
Paano kayo pinagsilbihan ng bumisita kaya sa Guro asyon sa mga sumusunod:
a) Physical Appearance of service personnel
(e.g. Wearing prescribe Uniform, ID etc.)
Pisikal na kaayusan ng kawaning nagsisilbi
(nakauot ng Uniporme, ID at iba pa)
b) Friendliness, attentiveness, helpfulness and courtesy
Magiliw, Maasikaso, matulungin, Magalang
c) Knowledge of the Job
Kaalaman sa trabaho
d) Flexibility in handling request and inquiries
Nakikibagay sa pagtugon sa mga kahilingan at katanungan
e) Accuracy in providing information
Katumpakan sa pagbibigay ng impormation
f) Skillfulness of service personel
Kahusayan ng kawani
g) Delivery of prompt and appropriate service
Pagbibgay ng nararapat at angkop na serbisyo
h) Cleanliness of the premises
Kalinisan ng paligid
i) Availability of equipment/tools
Kasapatan ng kagamitan
Other comments and suggestions:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Aiming High, Soaring High in Making a Difference