BOSES - Bukidnon State University
Feedback Form Survey
Department / Office
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Name
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Contact Number
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Purpose of Visit
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We greatly value your opinion. Please assess your experience with our product or service by selecting the icons that corresponds to your rating using the scale given below:
Responsiveness
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slightly-satisfied
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Neither satisfied nor dissatisfied
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very-much-satisfied
Very Satisfied
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Reliability (Quality)
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slightly-satisfied
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moderately-satisfied
Neither satisfied nor dissatisfied
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Satisfied
very-much-satisfied
Very Satisfied
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Access and Facilities
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not-satisfied
Very dissatisfied
slightly-satisfied
Dissatisfied
moderately-satisfied
Neither satisfied nor dissatisfied
very-satisfied
Satisfied
very-much-satisfied
Very Satisfied
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Communication
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not-satisfied
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slightly-satisfied
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moderately-satisfied
Neither satisfied nor dissatisfied
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very-much-satisfied
Very Satisfied
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Value for money (If applicable)
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not-satisfied
Very dissatisfied
slightly-satisfied
Dissatisfied
moderately-satisfied
Neither satisfied nor dissatisfied
very-satisfied
Satisfied
very-much-satisfied
Very Satisfied
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Integrity
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not-satisfied
Very dissatisfied
slightly-satisfied
Dissatisfied
moderately-satisfied
Neither satisfied nor dissatisfied
very-satisfied
Satisfied
very-much-satisfied
Very Satisfied
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Assurance
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not-satisfied
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moderately-satisfied
Neither satisfied nor dissatisfied
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very-much-satisfied
Very Satisfied
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Outcome
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not-satisfied
Very dissatisfied
slightly-satisfied
Dissatisfied
moderately-satisfied
Neither satisfied nor dissatisfied
very-satisfied
Satisfied
very-much-satisfied
Very Satisfied
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Overall Satisfaction Rating
not-satisfied
Very dissatisfied
slightly-satisfied
Dissatisfied
moderately-satisfied
Neither satisfied nor dissatisfied
very-satisfied
Satisfied
very-much-satisfied
Very Satisfied
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Comment reaction
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Suggestion
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Please write your compliments, comments, or suggestions below:
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