DOLE XI Client Satisfaction Measurement (CSM)

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 to not answer this form. (Itong Client Satisfaction Measurement (CSM) ay sumusubaybay sa karanasan ng customer sa opisina ng gobyerno. Ang iyong feedback sa iyong natapos kamakailan lang na transaksyon ay makakatulong sa opisinang ito para makapagbigay ng mas mahusay na serbisyo. Ang personal na impormasyon na ibinahagi ay pananatilihing kumpidensyal at ikaw ay laging may opsyon na hindi sagutan ang form na ito.)

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Data Privacy Statement:

In filling out our Customer Feedback Form, we will be collecting your email, name and contact number. These data are collected for specific and legitimate purposes. These shall be processed in a manner consistent with the purpose for which the same were originally collected. The personal information data collected shall be retained for as long as necessary for the purpose for which the data was obtained. Rest assured that we will keep said information secure and accessible only to authorized persons and shall be disposed of or discarded in a secure manner that would prevent further processing, unauthorized access or disclosure to any other party or public or that would prejudice your interest, in full compliance with the provisions of RA 10173, otherwise, known as the “Data Privacy Act of 2012”and its implementing rules.

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Client Type * Choose Client Type Citizen (Mamamayan) Business Government (Employee or another agency)

Petsa (Date):

Sex (Kasarian): * Choose Sex Male Female

Age (Edad): *

Region (Rehiyon o Lugar ng tirahan):

Office Visited (Opisinang Binisita): * Choose Office Visited Regional Office Davao City Field Office Davao de Oro Field Office Davao del Norte Field Office Davao del Sur Field Office Davao Occidental Field Office Davao Oriental Field Office IGACOS Extension Office Davao del Sur Extension Office Davao Oriental 1st District Extension Office

Service Availed: (Serbisyong Kinuha): * Choose Service Availed Application for Livelihood Project Assistance Issuance of Letter of Approval/Disapproval of Construction Safety and Health Program (CSHP) Application Registration of Workers’ Association Registration of Establishment under Rule 1020 of the Occupational Safety and Health Standards Registration of Collective Bargaining Agreement Registration of Contractors Application for Alien Employment Permit (New/Renewal) Issuance of Certificate of Exclusion from Alien Employment Permit Application for Working Child Permit Application for Sugar Workers’ Death Benefit Claim Application for Sugar Workers’ Maternity Benefit Claim Application for Accreditation of Co-Partner Registration of Union Clearing of Technical Plans for Mechanical Equipment and Electrical Installation Conduct of Technical Safety Inspection for the Issuance of Permit to Operate (PTO) Mechanical Installation/Certificate of Electrical Inspection (CEI) Issuance of Certificate of Appearance for Professional Mechanical Engineer/Professional Electrical Engineer Application for Job Fair Clearance Application for Job Fair Permit Application for Authority to Operate Branch Office of a Private Employment Agency Application for Authority to Recruit Application for License to Operate Private Employment Agency (PEA) Issuance of Permit to Operate (PTO) Mechanical Installation/Certificate of Electrical Inspection(CEI) Other Services

Others, please specify

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INSTRUCTIONS: Choose 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.

(Piliin ang iyong sagot sa mga katanungan ukol sa Citizen’s Charter (CC). Ang Citizen’s Charter ay isang opisyal na dokumento na sumasalamin sa mga serbisyo ng isang ahensya o opisina ng gobyerno kasama na ang kanilang mga kinakailangan, bayad at ang oras ng pagpro-proseso.)

CC1 - Which of the following best describes your awareness of a CC? (Alin sa mga sumusunod ang pinaka naglalarawan ng iyong kamalayan sa CC?) *

1. I know what a CC is and I saw this office’s CC. (Alam ko ang ibig sabihin ng CC at nakita ko na ito.)

2. I know what a CC is but I did NOT see this office’s CC. (Alam ko ang ibig sabihin ng CC ngunit hindi ko pa ito nakita.)

3. I learned of the CC only when I saw this office’s CC. (Natutunan ko kung ano ang CC nung nakita ko ito.)

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) (Hindi ko alam kung ano ang CC at hindi ko pa ito nakikita. Lagyan ng ‘N/A’ ang CC2 at CC3)

CC2 - If aware of CC (answered 1-3 in CC1), would you say that the CC of this office was…? (Kung alam mo ang CC (kung ang sagot mo ay nasa 1-3 ng CC1), Masasabi mo ba na ang CC ng opisinang ito ay..?)

1. Easy to see (Madaling makita)

4. Not visible at all (Hindi talaga nakikita)

2. Somewhat easy to see (Medyo madaling makita)

5. N/A (Hindi na-aangkop)

3. Difficult to see (Mahirap makita)

CC3 - If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction? (Kung batid mo ang CC (Kung ang sagot mo ay nasa 1-2 ng CC1), gaano nakatulong ang CC sa inyong transaksyon?)

1. Helped very much (Nakatulong ng lubusan)

3. Did not help (Hindi ito nakatulong)

2. Somewhat helped (Bahagyang nakatulong)

4. N/A (Hindi na-aangkop)

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INSTRUCTIONS: For SQD 0-8, please click on the column that best corresponds to your answer. (Para sa SQD 0-8, pakilagyan ng markang tsek ang hanay na pinakatumutugma sa inyong sagot.)

Service Quality Dimension (SQD)						N/A
	Strongly Disagree (Lubos na hindi sumasang-ayon)	Disagree (Hindi sumasang-ayon)	Neither Agree nor Disagree (Sumasang-ayon na hindi rin sumasang-ayon)	Agree (Sumasang-ayon)	Strongly Agree (Lubos na sumasang-ayon)	Not Applicable (Hindi na-aangkop)
SQD0. I am satisfied with the service that I availed. (Ako ay kontento sa serbisyo na aking napakinabangan) *
SQD1. I spent an acceptable amount of time to complete my transaction (Gumugol ako ng katanggap-tanggap na tagal ng oras upang makumpleto ang aking transaksyon) (Responsiveness) *
SQD2. The office accurately informed and followed the transaction’s requirements and steps based on the information provided (Ang opisina ay may wastong kaalaman at sinunod ang mga kinakailangan at hakbang ng transaksyon )(Reliability) *
SQD3. My online transaction (including steps and payment) was simple and convenient (Ang aking online na transaksyon (kabilang ang mga hakbang at pagbabayad) ay simple at maginhawa) (Access and Facilities) *
SQD4. I easily found information about my transaction from the office or its website (Madali kong nahanap ang impormasyon tungkol sa aking transaksyon mula sa opisina o sa website nito) (Communication) *
SQD5. I paid an acceptable amount of fees for my transaction (Nagbayad ako ng katanggap-tanggap na halaga ng mga bayarin para sa aking transaksyon) (Costs) *
SQD6. I am confident my online transaction was secure (Ako ay tiwala na ang aking online na transaksyon ay naging matiwasay) (Integrity) *
SQD7. The office's online support was available, or (if asked questions) online support was quick to respond (Available ang online na suporta ng opisina, o (kung magtatanong) mabilis na tumugon ang online na suporta) (Assurance) *
SQD8. I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me. (Nakuha ko ang kailangan ko sa opisina ng gobyerno, o (kung tinanggihan) pagtanggi sa aking kahilingan ay napaliwanag ng husto) (Outcome) *

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Suggestions on how we can further improve services (optional): (Mga mungkahi kung paano naming mapapabuti ang mga serbisyo)

Email address (optional):

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