Customer Feedback Form
Public Assistance Counter
(Front)
TESDA-OP-AS-03-F01
Rev. 00-03/01/2017
CUSTOM ER FEEDBACK FORM
Petsa
Pangalan
Tirahan/Tanggapan
Telepono/CP #
Edad
Kasarian
Lalaki
Babae
email address
Lagyan ng tsek (  ) ang patlang ayon sa antas ng serbisyong iyong natanggap.
1. M abilis na serbisyo
2. M ahusay na serbisyo
3. M agalang na empleyado
4. M alinis at maayos na tanggapan
Kabuuang antas ng kasiyahan sa serbisyong natanggap
Irerekomenda nyo po ba ang TES DA sa inyong kamag-anak at kaibigan?





Oo (Yes)





Hindi (No)
M ahalaga po sa amin ang inyong suhestyon. Pakisulat lamang po sa mga patlang.
Lagda
M ARAM ING SALAM AT PO!
Legend:
Very Satisfactory
Satisfactory
 Poor





Customer Feedback Form
Public Assistance Counter
(Back)
FOR TESDA USE
Control No.
SERVICE/S RENDERED
Assessment and Certification
Program Registration
Training
Competency Assesment
Application
Regular
Certification (NC/COC/NTTC/TM C)
Re-registration
Scholarship
Accreditation (Application/Renewal)
Others
CAV/SO
Others
Others
Admin
Others
ACTION TAKEN:
Referred to
Specify Action Taken of Concerned Office/Focal Person
Printed Name and Signature of Customer Service Officer
TESDA-OP-AS-03-F02
Rev. No. 00-03/01/17
Monitoring Report of Customer Feedback Form Results
Attached
Agency:
Period Covered:
Feedback Box
Location
No.
Date
Control
Number
Public Assistance Counter- TESDA Main Admin. Bldg.
Rater/ Contact
Details
Age
Gender
email
address
Office
Visited
Frontline
Service
Requested
Action
Provided
Rating Format in
the Citizen's
Charter
VS

S
P
Citizens
Comment
Action
Taken, if
any
TESDA-OP-AS-03-F03
Rev. No. 00-03/01/17
CENTRAL OFFICE CCU CLIENT LOG FORM
Period Covered
Caller
No.
Transaction
Code
Time
of
Call
Caller
Locatio
n
Caller Name
Address
Telephone
number
Specific
Concern
Type of
Inquiry
Action
Provided
Office
Referred to
Source of
Information
Time
Call
Ended
TESDA-OP-AS-03-F04
Rev. No. 00-03/01/17
MONITORING OF COMPLAINTS RECEIVED
Period Covered:
No.
Name of
Complainant
Date
Compla
int
Receive
d
Nature of
Complai
nt
Area
Complaine
d
Complai
nt
Received
thru
Details of
Complaint
Action
Taken
Date
Acte
d
Office
Referred
to
Date
Referre
d
Action
Taken by
Responsibl
e Office
Date of
Action
Status of
Compla
int
TESDA-OP-AS-03-F05
Rev. No. 00-03/01/17
REGIONAL/PROVINCIAL OFFICE
CUSTOMER LOGSHEET FOR TELEPHONE, SMS, MAILS
Period Covered
Location:
Name of Customer
Contact No.
Type of Inquiry
Modality
CSO
TESDA-OP-AS-03-F06
Rev. No. 00-03/01/17
REGIONAL/PROVINCIAL OFFICE
MONITORING OF CUSTOMERS SERVED
Period Covered
Location:
MODALITIES
Total Telephone Calls Received
Total SMS Received
Total emails Received
Total Mails Received
Total Facebook Customers Served
Total
NUMBER OF INQUIRIES
TESDA-OP-AS-03-F07
Rev. No. 00-03/01/17
CUSTOMER FEEDBACK SATISFACTION MONTHLY ANALYSIS
(Customer Inquiry and Feedback Form TESDA-SOP-CSC-03-F01)
For the month of
A. Total Number of Clients Served by Gender
Gender
Female
Male
Total
No. of Clients
B. Distribution of Clients Served by Age Group
Age Group
15-25
26-35
36-45
46-55
56-65
66 and Above
Age not indicated
Total
No. of Clients
C. Total Number of Clients by Reason of Visit
Reason for Visit
Assessment &
Certification
UTPRAS
Training
Scholarship
Admin. Related
Others
Total
No. of Clients
D. Action Provided Relative to Purpose of Visit
No. of
Clients
Action Provided
Total
E. Overall Rating
Rating
No. of Clients
F. Feedback on Other Service Area
Other Areas Rated
ANALYSIS:
VS
S
P
TOTAL
TESDA-OP-AS-03-F08
Rev. No. 00-03/01/17
Technical Education and Skills Development Authority
(TESDA)
Form (Year)
AREA
(Region) (Province)
REQUEST/FEEDBACK FORM
Name
Date
Address
Telephone
Office
Email address
DETAILS OF REQUEST/FEEDBACK
(Signature over Printed Name)
FOR TESDA USE
Tracking Number
Endorsed to
Date
Endorsed
Remarks
Action Taken
Date of
Action
TESDA-OP-AS-03-F09
Rev. No. 00-03/01/17
Technical Education and Skills Development Authority
(TESDA)
Transmittal
Year ____
TO:
TRANSMITTAL OF DOCUMENTS, REPORTS AND
ELECTRONIC MAILS(e-mail)
FROM:
Date
DETAILS
DATE
Signature over Printed Name
of the Head of Office
TESDA-OP-AS-03-F10
Rev. No. 00-03/01/17
Technical Education and Skills Development Authority
(TESDA)
COMPLAINT REPORT FORM
Year ____
NAME OF COMPLAINANT:
COMPLAINT
RECEIVED BY:
RECEIVED ON:
Signature
DATE
DETAILS OF COMPLAINT
NATURE OF COMPLAINT
ACTION TAKEN
Details of Action Taken:
Name and Position of Personnel
Acting on complaints
Date:
Noted by:
Date:
ACKNOWLEDGMENT OF ACTION TAKEN
CONFORME
Date:
Signature over Printed Name
Form 1A
Attached Agency
Operating Unit:
Period Covered:
Feedback
Box
Location
Office
Visited
Summary of Results of Citizen’s Feedback System Report Form
Public Assistance Counter- TESDA Main Admin. Bldg.
Mo/Yr
Rating Format in the
Citizen's Charter
Total
VS
S
Responde
nts
Summary of
Clients
Comments
Action/s
Taken on
Negative
Feedbacks
Rati
o
AA/RO/FO
Suggestions/Recommen
dation
Form 2 Inventory/Accomplishments of Citizen's Served in the Frontline Services Enrolled in the Citizen's Charter
Attached Agency
Period Covered:
Feedback Box Location
Frontline Service in the
Citizen Charter
Assessment and Certification
Registration
Training
Scholarship
Other Programs and
Services
Complaints
Total
Month/ Year
AA
Total Number of Clients Served
Offices
RO
PO
DO
TOTAL