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CSF Form No. 3 DOLE Regional Offices Provincial Field Offices

This document is a client feedback form for programs and services provided by the Department of Labor and Employment (DOLE) regional and field offices in the Philippines. It collects information about the client's experience, including the type of service availed, level of satisfaction with various aspects of service delivery, and space for complaints or suggestions. The form uses a rating scale to assess timely delivery, response to queries, ease of access, clarity of instructions, reasonable fees, safety and security, knowledge of staff, and overall satisfaction with services received.

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Angelica Gallos - Madija
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360 views

CSF Form No. 3 DOLE Regional Offices Provincial Field Offices

This document is a client feedback form for programs and services provided by the Department of Labor and Employment (DOLE) regional and field offices in the Philippines. It collects information about the client's experience, including the type of service availed, level of satisfaction with various aspects of service delivery, and space for complaints or suggestions. The form uses a rating scale to assess timely delivery, response to queries, ease of access, clarity of instructions, reasonable fees, safety and security, knowledge of staff, and overall satisfaction with services received.

Uploaded by

Angelica Gallos - Madija
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(DOLE Regional Office Letterhead)

CLIENT FEEDBACK TO PROGRAM IMPLEMENTERS/SERVICE PROVIDERS


(DOLE Regional Offices and Provincial/Field Offices)

Thank you for giving us the opportunity to serve you.


Please help us improve the quality of our services by taking a few minutes to tell us about your experience with us.

CLIENT INFORMATION:
Client Type:
 General Public Name: __________________________________________________
 Business Contact Number: _________________________________________
Name of Business: ___________________________________________ Email Address: ___________________________________________
 Government Agency/Official/Employee Office Visited: ____________________________________________
Name of Government Agency: __________________________________ Date: ___________________________________________________
Sex:  Male  Female

Please put a check mark () in the appropriate box corresponding to your response. (Pakilagyan ng tsek () ang kahon na nagsasaad ng
iyong tugon.)

SERVICE AVAILED (Serbisyong Kinailangan):


 Application for Alien Employment Permit (New/Renewal)  Issuance of Certificate of Appearance for Professional Mechanical
Engineer/Professional Electrical Engineer
 Application for Authority to Operate Branch Office of a Private Employment  Issuance of Certificate of Exclusion from Alien Employment Permit
Agency
 Application for Authority to Recruit  Issuance of Letter of Approval/Disapproval of Construction
Safety and Health Program (CSHP) Application
 Application for License to Operate Private Employment Agency (PEA)  Issuance of Permit to Operate Mechanical Installation/
Certificate of Electrical Inspection (CEI)
 Application for Livelihood Project Assistance  Registration of Establishment under Rule 1020 of the Occupational
Safety and Health Standards
 Application for Job Fair Clearance  Registration of Collective Bargaining Agreement
 Application for Job Fair Permit  Registration of Contractors
 Application for Sugar Workers’ Death Benefit Claim  Registration of Union
 Application for Sugar Workers’ Maternity Benefit Claim  Registration of Workers’ Association
 Others, please specify: _____________________________________________________________________________________________

Strongly Agree Neither Disagree Strongly


Agree (Sang-ayon) Agree nor (Hindi sang- Disagree
(Lubos na Disagree ayon) (Lubos na
sumasang- (Ni sang-ayon hindi
Particulars ayon) o hindi sumasang-
(Mga Detalye) sumasang- ayon)
ayon)

1. The requested service/s is/are delivered in a timely manner (Ang


    
hinihinging serbisyo ay naibigay sa takdang oras)
2. The client’s queries/needs is/are properly responded to by the concerned
    
personnel or unit (Nakatugon ng maayos sa katanungan/pangangailangan)
3. The service/s and facility/ies is/are easily accessible (Maayos na serbisyo o
    
pasilidad)
4. The instructions are clearly indicated in the Citizen’s Charter (Malinaw at
    
nakaayon ang instruksyon sa Citizen’s Charter)
5. The fees are reasonable (Resonable ang hinihinging bayad)     
6. The client feels safe and secured in doing the transaction (Walang
    
alinlangan sa pakikipag-transaksyon)
7. The Action Officer is knowledgeable on the DOLE programs/services (Ang
    
Action Officer ay may sapat na kaalaman sa programa/serbisyo ng DOLE)
8. The client is satisfied with the service/s received (Nasiyahan sa serbisyong
    
natanggap)

Complaint about our service (Reklamo sa serbisyong ibinigay): Suggestion/Recommendation (Mungkahi/Rekomendasyon):

Signature (Lagda): _____________________________________


CSF Form No. 3 (Rev 00 - 15 January 2021)

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