ONLINE CUSTOMER SATISFACTION SURVEY
Are you a DOH employees? *

Office Visited *

Staff who rendered service

What is the purpose of your visit/transaction? *
For data request, please specify
How long did you wait before you accomplished the purpose of your visit/transaction?

Hour/s Minute/s Second/s

Please “TICK” the box of your response using rating scale.

Strongly Agree
Agree
Disagree
Strongly Disagree
Received the appropriate services *
Timely response was given *
The staff was well-informed *
The Staff was courteous and approachable *
The services rendered were just, honest and fair *
The workplace was clean and organized *

As a whole, are you satisfied with the services provided/received? *


Comments/Suggestions/Recommendations *


Contact Details (Optional)
Name: Office:
Contacts: Email Address: