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Csm-Form School

This document is a client satisfaction survey from the Anti-Red Tape Authority regarding services received at an elementary school in Bucot, Aliaga, Nueva Ecija, Philippines. The survey asks for basic information about the client and their awareness of and experience with the school's Citizen's Charter. It then uses a rating scale to assess client satisfaction with various aspects of their transaction, such as time spent, ease of the process, fees, and treatment by staff. Space is also provided for optional suggestions on improving services.

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GERLY REYES
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542 views

Csm-Form School

This document is a client satisfaction survey from the Anti-Red Tape Authority regarding services received at an elementary school in Bucot, Aliaga, Nueva Ecija, Philippines. The survey asks for basic information about the client and their awareness of and experience with the school's Citizen's Charter. It then uses a rating scale to assess client satisfaction with various aspects of their transaction, such as time spent, ease of the process, fees, and treatment by staff. Space is also provided for optional suggestions on improving services.

Uploaded by

GERLY REYES
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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Control No: ANTI-RED TAPE AUTHORITY

CLIENT SATISFACTION MEASUREMENT FORM


PSA Approval No. ARTA-2224-3
Expires on 31 July 2023

BUCOT ELEMENTARY SCHOOL


Bucot, Aliaga, Nueva Ecija

HELP US SERVE YOU BETTER!

This Client Satisfaction Measurement (CSM) tracks the customer experience of government offices. Your
feedback on your recently concluded transaction will help this office provide a better service. Personal
information shared will be kept confidential and you always have the option not to answer this form.

Client type: Citizen Business Government (Employee or another

agency) Date: Sex: Male Female Age:

Region of residence: Nueva Ecija Service Availed:

INSTRUCTIONS: Check mark ( √ ) your answer to the Citizen's Charter (CC) questions. The Citizen's Charter
is an official document that reflects the services of a government agency/office including its requirements, fees,
and processing times among others.

CC1 Which of the following best describes your awareness of a Citizen’s Charter (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 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' onCC2 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 4. Not visible et ell
2. Somewhat easy tosee 5. NIA
3. Difficult to see

CC3 If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction?
1. Helped very much 3. Did not help.
2. Somewhat helped 4. N/A

INSTRUCTIONS:
For SQD 0-8, please put a check mark (√) on the column that best corresponds to your answer.

NIA
Not
Strongly Disagree Neither Agree Strongly Applicable
Disagree nor Disagree Agree Agree
SQD0. I am satisfied with the service that I
availed.
SQD1. I spent a reasonable amount of time
for
my transaction.
SQD2. The office followed the transaction's
requirements and steps based on the
information provided.
SQD3. Thesteps (includingpayment) I
needed
to do for my transaction were easy
andsimple.
SQD4. I easily found information about my
transaction from the office or its website.
SQD5. I paid a reasonable amount of fees
for my transaction.
SQD6. I feel theoffice wasfair to everyone,
or "walang palakasan, during my
transaction.
SQD7. I was treated courteously by the staff,
and (if asked for help) the staff was helpful.
SQD8. 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 (optional):

Email address (optional):


THANK YOU!

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