Sample of a Questionnaire

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A Survey on Service Satisfactory of Saint Louis College Canteen Name (optional): __________________________ Age: ___ Gender: __________ Direction: Please rate how strongly you agree or disagree with each of the following statements by encircling the number. 1- Not satisfied/Disagree

2- Barely Satisfied/ Barely Agree
3- Satisfied/ Agree
4- Very Satisfied/ Strongly Agree
5- Very Much Satisfied/ Very Strongly Agree
A. Staff Services
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
1. The Staff are Friendly and Approachable.
2. The Staff are calm during stressful situations.
3. Calmly interact with customers under all kinds of situations, 4. The Staff can accommodate all the costumers.
5. The staff has a pleasing personality.
B. Physical Facilities/ Ambience

5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
1. The Canteen is having a modern kitchen equipped with facilities for hygienic food preparation.   2. Observe proper wastes disposal.
3. Well ventilated and cool station for eating.
4. Sufficient tables and chairs that can accommodate the costumers. 5. Tables and chairs are arranged properly to avoid over population or crowded. C. Food
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
5| 4| 3| 2| 1|
1. Provide quality food and snack at lowest cost.
2. Foods are served freshly and tasty every day.
3. Foods have a variety and seasonal.
4. Caters to the nutritional needs of the costumers.
5. Keep all foods on display covered to protect them from flies and dust.
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