This document is a client feedback form from A. Montes 1 Elementary School in Iloilo City, Philippines. The form collects information about a client's recent transaction or visit to the school, including which office they visited and their ratings of various aspects of their experience. Clients are asked to rate on a scale of 1 to 5 their satisfaction with the employee's behavior, the promptness of services, the cleanliness of offices and facilities, and their overall impression of the school. Space is also provided for additional comments to help the school improve services for future clients and visitors.

1. Republic ofthe Philippines
DepartmentofEducation
REGION VI –WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO CITY
A.MONTES 1 ELEMENTARY SCHOOL
ZAMORA STREET, ILOILO CITY
Email address:117626@deped.gov.ph
Address: Zamora St., Iloilo City
School I.D. 117626
Telephone No.: (033) 5002650
CLIENT FEEDBACK FORM
NAME (Optional) _______________________________________________
EMAIL/CONTACT NO. (Optional) ___________________________________
DATE OF TRANSACTION:_________________________ Time:___________
OFFICE TRANSACTED/VISITED:
Office of the Principal Administrative Office
Library Supply
Enrolment/Admission Cashier
Public Affairs Personnel (HR)
LaboratoryandSchool Inventory Records
Learning andDevelopment Canteen
Finance Services Clinic
DRRM Guidance
ICT PTA
LRMS Others:Please Specify____________
Planning
Pleaselet us know how well we met your expectations and what we could do to improve our services to you and future
clients/visitorsto our office.
Thank you for your assistance.
Tick (√) the box of the appropriatedescription of your experience on your recent visitto us.
How would you rate the:
 physical appearance/toneof the voice/behavior/action/manner shown by the employee/staff?
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
 promptness and soundness of the services/assistanceprovided to you?
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
 cleanlinessand atmosphereof the office?
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
 cleanlinessof the comfort room or wash room? (in caseyou used this room)
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
 provision of alcohol and sanitizers in theoffice?
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
 overall impression you have for the school?
(5) Most satisfied (4) Verysatisfied (3) Satisfied (2) Less satisfied (1)Least satisfied
Feel free toleave additional comments,suggestionsand impressions.
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CONTENTS OF THIS
FORM ARE HIGHLY
CONFIDENTIAL