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SDO-OSDS-F015 Client Satisfaction Measurement (CSM) Form

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0% found this document useful (0 votes)
26 views2 pages

SDO-OSDS-F015 Client Satisfaction Measurement (CSM) Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Republic of the

Philippines Philippines
Department of Department of
Education Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
CUSTOMER FEEDBACK CUSTOMER FEEDBACK
HELP US SERVE YOU BETTER! HELP US SERVE YOU BETTER!
This Client Satisfaction Measurement (CSM) tracks the customer experience of This Client Satisfaction Measurement (CSM) tracks the customer experience of
government offices. Your feedback on your recently concluded transaction will help government offices. Your feedback on your recently concluded transaction will help
this office provide a better service. Personal information shared will be kept this office provide a better service. Personal information shared will be kept
confidential and you always have the option to not answer this form. confidential and you always have the option to not answer this form.
Client type: ☐ Citizen ☐ Business ☐ Government (Employee or another agency) Client type: ☐ Citizen ☐ Business ☐ Government (Employee or another agency)
Date: Sex: ☐ Male ☐ Female Age: Date: Sex: ☐ Male ☐ Female Age:

Region of residence: Service Availed: Region of residence: Service Availed:

INSTRUCTIONS: Check mark (✔ ) your answer to the Citizen’s Charter (CC)


INSTRUCTIONS: Check mark (✔ ) your answer to the Citizen’s Charter (CC)
questions. The Citizen’s Charter is an official document that reflects the
questions. The Citizen’s Charter is an official document that reflects the
services of a government agency/office including its requirements, fees, and
services of a government agency/office including its requirements, fees, and
processing times among others.
processing times among others.
CC1 Which of the following best describes your awareness of a CC?
☐ 1. I know what a CC is and I saw this office’s CC.
CC1 Which of the following best describes your awareness of a CC?
☐ 1. I know what a CC is and I saw this office’s CC.
☐ 2. I know what a CC is but I did NOT see this office’s CC.
☐ 2. I know what a CC is but I did NOT see this office’s CC.
☐ 3. I learned of the CC only when I saw this office’s CC.
☐ 3. I learned of the CC only when I saw this office’s CC.
☐ 4. I do not know what a CC is and I did not see one in this office. (Answer ‘N/A’ on CC2 and CC3)
☐ 4. I do not know what a CC is and I did not see one in this office. (Answer ‘N/A’ on CC2 and CC3)
CC2 If aware of CC (answered 1-3 in CC1), would you say that the CC of this
CC2 If aware of CC (answered 1-3 in CC1), would you say that the CC of this
office was …?
☐ 1. Easy to see ☐ 4. Not visible at all
office was …?
☐ 1. Easy to see ☐ 4. Not visible at all
☐ 2. Somewhat easy to see ☐ 5. N/A
☐ 2. Somewhat easy to see ☐ 5. N/A
☐ 3. Difficult to see
☐ 3. Difficult to see
CC3 If aware of CC (answered codes 1-3 in CC1), how much did the CC help
CC3 If aware of CC (answered codes 1-3 in CC1), how much did the CC help
you in your transaction?
you in your transaction?
☐ 1. Helped very much ☐ 3. Did not help
☐ 1. Helped very much ☐ 3. Did not help
☐ 2. Somewhat helped ☐ 4. N/A
☐ 2. Somewhat helped ☐ 4. N/A

INSTRUCTIONS:
INSTRUCTIONS:
For SQD 0-8, please put a check mark (✔ ) on the column that best
For SQD 0-8, please put a check mark (✔ ) on the column that best
corresponds to your answer.
N/A corresponds to your answer.
N/A
Not
Applicable Not
Strongly Disagree Neither Agree Strongly Applicable
Disagree Agree Agree Strongly Disagree Neither Agree Strongly
nor Disagree Agree Agree
Disagree nor
Disagree
SQD0. I am satisfied with the
SQD0. I am satisfied with the
service that I availed.
service that I availed.
SQD1. I spent a reasonable
SQD1. I spent a reasonable
amount of time for my
amount of time for my
transaction.
transaction.
SQD2. The office followed the
SQD2. The office followed the
transaction’s requirements and
transaction’s requirements and
steps based on the information
steps based on the information
provided.
provided.
SQD3. The steps (including
SQD3. The steps (including
payment) I needed to do for
payment) I needed to do for
my transaction were easy and
my transaction were easy and
simple.
simple.
SQD4. I easily found
SQD4. I easily found
information about my
information about my
transaction from the office or
transaction from the office or
its
its
website.
website.
SQD5. I paid a reasonable
SQD5. I paid a reasonable
amount of fees for my
amount of fees for my
transaction. (If service was free,
mark the ‘N/A’ column) transaction. (If service was free,
mark the ‘N/A’ column)
SQD6. I feel the office was fair
SQD6. I feel the office was fair
to everyone, or “walang
to everyone, or “walang
palakasan”, during my
palakasan”, during my
transaction.
transaction.
SQD7. I was treated
SQD7. I was treated
courteously by the staff, and (if
courteously by the staff, and (if
asked for help) the staff was
asked for help) the staff was
helpful.
helpful.
SQD8. I got what I needed
SQD8. I got what I needed
from the government office, or
from the government office, or
(if denied) denial of request
(if denied) denial of request
was
was
sufficiently explained to me.
sufficiently explained to me.
Suggestions on how we can further improve our services (optional):
Suggestions on how we can further improve our services (optional):

Address: Provincial Sports Complex, Bolbok, 4200 Batangas City Address: Provincial Sports Complex, Bolbok, 4200 Batangas City
Telep Hone:(043)722-1840 / 722-1796 Telep Hone:(043)722-1840 / 722-1796
Email Address: [email protected] Email Address: [email protected]
Website: www.depedbatangas.com Doc. Ref. Code SDO-OSDS-F015 Rev 00 Website: www.depedbatangas.com
Doc. Ref. Code SDO-OSDS-F015 Rev 00
Effectivity 3.10.25 Page 1 of 1 Effectivity 3.10.25 Page 1 of 1
Email address (optional): Email address (optional):
THANK YOU! THANK YOU!

Address: Provincial Sports Complex, Bolbok, 4200 Batangas City Address: Provincial Sports Complex, Bolbok, 4200 Batangas City
Telep Hone:(043)722-1840 / 722-1796 Telep Hone:(043)722-1840 / 722-1796
Email Address: [email protected] Email Address: [email protected]
Website: www.depedbatangas.com Doc. Ref. Code SDO-OSDS-F015 Rev 00 Website: www.depedbatangas.com
Doc. Ref. Code SDO-OSDS-F015 Rev 00
Effectivity 3.10.25 Page 2 of 1 Effectivity 3.10.25 Page 2 of 1

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