NPQSD CSF-Ver2

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Control No.

: CSF - NPQSD -------------------------------------


Code - Year – Month - Serial No.
Department of Agriculture (To be filled up by the Assigned BPI Staff each Operating Unit)

BUREAU OF PLANT INDUSTRY


NATIONAL PLANT QUARANTINE SERVICES
DIVISION CUSTOMER SATISFACTION FORM
We value your privacy and will keep your personal information confidential. In signing hereof, you authorize the Bureau of Plant Industry to use your information for the continuous improvement of our goods/services and our Quality Management System.
(Pinapahalagahan po namin ang inyong pagkapribado at aming pag-iingatan ang inyong mga personal na impormasyon. Sa inyong paglagda sa form na ito, inyo pong pinahihintulutan ang Bureau of Plant Industry na gamitin ang inyong impormasyon)

Time/Oras: ___________
Please check (√)/Lagyan ng tsek Female Male
(√):
Date/Petsa (Month/Day/Year): Internal Customer External Customer
Name/Pangalan: (BPI employee)

Birthdate/Araw ng kapanganakan (Month/Day/Year): Individual/ Indibidwal Group/ Grupo


If GROUP, Name of Agency or Association/Pangalan ng Ahensya o asosasyon Private/ Pribado Government/ Gobyerno

 TYPE AND QUANTITY OF GOODS OR SERVICES RECEIVED/URI AT DAMI NG MGA BAGAY O SERBISYO NA NATANGGAP:

_______________________________________________________________________________________________________________________________________________________________________________________
Instructions: Please check (√) the appropriate column from 1-5, with 1 being the lowest and 5 as the highest.
Panuto: Lagyan ng tsek (√) ang napiling “kolum” mula 1-5, 1 bilang pinakamababa at 5 bilang pinakamataas.
RATING/MARKA
(1) VERY DISSATISFIED
(2) DISSATISFIED (4) SATISFIED (5) VERY SATISFIED
LUBOS NA HINDI (3) NEUTRAL
CRITERIA NASIYAHAN
HINDI NASIYAHAN NASIYAHAN LUBOS NA NASIYAHAN
KRAYTERYA

1. Quality of goods/services provided


Kalidad ng produkto/serbisyong natanggap
Services rendered by the personnel/staff:
2. Courteousness/ Pagiging magalang
3. Responsiveness/ Mabilis na pagtugon
4. Over-all customer goods/services provided
Kabuoang serbisyong natanggap
TOTAL: (for designated BPI staff only)

5. Other comments/suggestions on how we can further improve our goods/services? Iba pang komento o mungkahi upang lalong mapaganda
ang aming produkto at serbisyo?
Thank you so much for answering this form. We look forward on serving you again!
Maraming salamat sa pagsagot sa form na ito. Inaasahan namin ang paglingkod sa iyo muli!

EFFECTIVITY DATE: November 4, 2020


DOCUMENT NO.: BPI-QMS-KMT-19CSF-F8
REVISION NO.: 2 Signature of Customer/ Lagda ng Customer

Control No.: CSF - NPQSD -------------------------------------


Code - Year – Month - Serial No.
Department of Agriculture (To be filled up by the Assigned BPI Staff each Operating Unit)

BUREAU OF PLANT INDUSTRY


NATIONAL PLANT QUARANTINE SERVICES DIVISION
CUSTOMER SATISFACTION FORM
We value your privacy and will keep your personal information confidential. In signing hereof, you authorize the Bureau of Plant Industry to use your information for the continuous improvement of our goods/services and our Quality Management System.
(Pinapahalagahan po namin ang inyong pagkapribado at aming pag-iingatan ang inyong mga personal na impormasyon. Sa inyong paglagda sa form na ito, inyo pong pinahihintulutan ang Bureau of Plant Industry na gamitin ang inyong impormasyon)

Time/Oras: ___________ Please check (√)/Lagyan ng tsek Female Male


(√):
Date/Petsa (Month/Day/Year): Internal Customer External Customer
Name/Pangalan: (BPI employee)

Birthdate/Araw ng kapanganakan (Month/Day/Year): Individual/ Indibidwal Group/ Grupo


If GROUP, Name of Agency or Association/Pangalan ng Ahensya o asosasyon Private/ Pribado Government/ Gobyerno

 TYPE AND QUANTITY OF GOODS OR SERVICES RECEIVED/URI AT DAMI NG MGA BAGAY O SERBISYO NA NATANGGAP:

_______________________________________________________________________________________________________________________________________________________________________________________
Instructions: Please check (√) the appropriate column from 1-5, with 1 being the lowest and 5 as the highest.
Panuto: Lagyan ng tsek (√) ang napiling “kolum” mula 1-5, 1 bilang pinakamababa at 5 bilang pinakamataas.
RATING/MARKA
(1) VERY DISSATISFIED
(2) DISSATISFIED (4) SATISFIED (5) VERY SATISFIED
LUBOS NA HINDI (3) NEUTRAL
CRITERIA NASIYAHAN
HINDI NASIYAHAN NASIYAHAN LUBOS NA NASIYAHAN
KRAYTERYA

1. Quality of goods/services provided


Kalidad ng produkto/serbisyong natanggap
Services rendered by the personnel/staff:
2. Courteousness/ Pagiging magalang
3. Responsiveness/ Mabilis na pagtugon
4. Over-all customer goods/services provided
Kabuoang serbisyong natanggap
TOTAL: (for designated BPI staff only)

5. Other comments/suggestions on how we can further improve our goods/services? Iba pang komento o mungkahi upang lalong mapaganda
ang aming produkto at serbisyo?
Thank you so much for answering this form. We look forward on serving you again!
Maraming salamat sa pagsagot sa form na ito. Inaasahan namin ang paglingkod sa iyo muli!

EFFECTIVITY DATE: November 4, 2020


DOCUMENT NO.: BPI-QMS-KMT-19CSF-F8
REVISION NO.: 2
Signature of Customer/ Lagda ng Customer

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