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CLIENT/CUSTOMER SATISFACTION SURVEY FORM
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CLIENT/CUSTOMER SATISFACTION SURVEY FORM
CLIENT/CUSTOMER SATISFACTION SURVEY FORM
I. Client/Customer’s Information
Name (optional)
Email address
Contact Number
Phone
Name of Organization
Type of Organization
- Select -
Private Industry
Government Agency
Academe
Others
Date of Request
Mode of Online Delivery of Product
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Information Center Email
Web Form Mail
eFOI
Attended by
- Select -
Information Center/Web Data Request Form/eFOI
Sectoral Division
RSSO/PSO
(specify Service/Division)
(specify RSSO/PSO)
II. Data Request
Data/publication request
Purpose or intended use of data request
III. Feedback
1. Were we able to provide you with appropriate data?
- Select -
Yes
No
2. How useful was the provided data?
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1
2
3
4
5
1 - Not Useful | 5 - Very Useful
3. Presentation and packaging
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1
2
3
4
5
1 - Very Poor | 5 - Very Good
4. How satisfied are you with the timeliness of order delivery?
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1
2
3
4
5
1 - Not Satisfied | 5 - Very Satisfied
How would you rate your overall experience with the PSA service?
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1
2
3
4
5
1 - Very Poor | 5 - Very Good
Suggestions and comments
Information message
Disclaimer: In accordance with the Data Privacy Act (RA 10173) and its implementing rules and regulations, PSA fully recognizes the value of your personal information. As such, all personal information gathered will be securely stored and the personal information controller upholds the rights of data subjects and adhere to general data privacy principles and the requirements of lawful processing. Further, the processing was undertaken in a manner that ensures appropriate privacy and security safeguards.
