CHEDRO5: Client Satisfaction Measurement

Please help us improve our services by filling out this Client Satisfaction Measurement (CSM) form. Your feedback is important to us.

PRIVACY NOTICE
Accomplishing this form signifies your consent for CHED Regional Office V to collect the information provided. All personal information shall be treated with utmost confidentiality and used solely to improve our services.

Data Privacy Notice

Data and information in this form are intended exclusively for this activity. This will be kept by the process owner for the purpose of verifying and authenticating the identity of the participants. Serving other purposes not intended by the process owner is a violation of the Data Privacy Act of 2012.

Date of Transaction *

Gender *

Male Female

Age *

Email address

Region of Residence *

Client Type *

Citizen Business Government

Service Availed: *

CC1: Which of the following best describes your awareness of the 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. 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 'NA' on CC2 and CC3)

CC2: If aware of CC (answered 1-3 in CC1), would you say that the CC of this office was…

1. Easy to see 2. Somewhat easy to see 3. Difficult to see 4. Not visible at all

CC3: If aware of CC (answered options 1-3 in CC1), how much did the CC help you in your transaction?

1. Helped very much 2. Somewhat helped 3. Did not help

Rate our Services *

	SD	D	N	A	SA
I am satisfied with the service that I availed.
I spent a reasonable amount of time for my transaction.
The office followed the transaction's requirements and steps based on the information provided.
The steps (including payment) I needed to do for my transaction were easy and simple.
I easily found information about my transaction from the office or its website.
I paid a reasonable amount of fees for my transaction.
I feel the office was fair to everyone, or walang palakasan, during my transaction.
I was treated courteously by the staff, and (if asked for help) the staff was helpful.
I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me.

Suggestions on how we can further improve our services:

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