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FEEDBACK FORM ON CUSTOMER SERVICE
In applying performance rating, comments should summarize the customer service and the rating should best describe service in that category. Please refer to areas of evaluation and details of categories. Your feedback will be used to improve our services.
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Name
Phone number / E-mail
Gender *
Race *
Marital Status *
Age *
Feedback on (Department / Section / Unit) *
Other Areas (Please specify)
Indicator of the Service Performance  
Your feedback is important for us to rate our service performance. Kindly tick one based on the service/s provided to you, under the following categories.

1 - Needs improvement
2 - Satisfactory                                                                      
3 - Average
4 - Good                                                                                    
5 - Excellent      


QUALITY OF SERVICES *
Overall performance - customer service - facilities - ambiance.
Needs improvement
Excellent
ADDITIONAL COMMENTS: Quality of Services.
PROFESSIONAL ATTRIBUTES *
Professional - Responsive - Proactive - Reliable and managed the customer effectively.
Needs improvement
Excellent
ADDITIONAL COMMENTS: Professional Atrribtutes
RESPONSE TIME *
Length of time taken - Answer - Reaction - Action.
Needs improvement
Excellent
ADDITIONAL COMMENTS: Response Time
ANY OTHER COMMENTS:
Thank you for your kind feedback.
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