OMB Form 11 - Feedback Form

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OMB Form 11 - November 2020

Republic of the Philippines


Office of the Ombudsman

FEEDBACK FORM (OMB FORM 11)


We value your feedback. Please let us know how we have served you by completing this form.

Date:

Name of Visitor: (optional)

Contact Number (optional) Sex _____________________

Name of Office/Bureau visited:


Name of OMB Personnel
who attended you:
Purpose of visit :

How do you feel about our service? Please put a check (/) mark.

Excellent Very Satisfactory Satisfactory Unsatisfactory Poor

Category

a. Prompt
b. Courteous
c. Adequate
Suggestion for improvement/commendation

Thank you!
THIS FORM IS NOT FOR SALE. THIS CAN ALSO BE DOWNLOADED THRU THE OMBUDSMAN WEBSITE AT www.ombudsman.gov.ph

OMB Form 11 - November 2020

Republic of the Philippines


Office of the Ombudsman

FEEDBACK FORM (OMB FORM 11)


We value your feedback. Please let us know how we have served you by completing this form.

Date:

Name of Visitor: (optional)

Contact Number (optional) Sex _____________________

Name of Office/Bureau visited:


Name of OMB Personnel
who attended you:
Purpose of visit :

How do you feel about our service? Please put a check (/) mark.

Excellent Very Satisfactory Satisfactory Unsatisfactory Poor

Category

a. Prompt
b. Courteous
c. Adequate
Suggestion for improvement/commendation

Thank you!
THIS FORM IS NOT FOR SALE. THIS CAN ALSO BE DOWNLOADED THRU THE OMBUDSMAN WEBSITE AT www.ombudsman.gov.ph

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