Client Satisfaction Measurement
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office 4A (CALABARZON)
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.)
Concerned Office:
List of Services:
Specify Services:
Company Name
(Optional)
:
Respondent Name
(Optional)
:
Email address / Contact Number
(Optional)
:
Client Type:
Select Client Type
Citizen (Mamamayan)
Business (Negosyo)
Government (Employee or another agency)
Sex:
Select Sex
Male
Female
Age:
INSTRUCTIONS:
For SQD 0-8, please put a check mark (✓) 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)
Rating
Not Applicable (Hindi na-aangkop)
😃
Strongly Agree (
Lubos na sumasang-ayon
)
🙂
Agree (
Sumasang-ayon
)
😐
Neither Agree nor Disagree (
Walang kinikilingan
)
🙁
Disagree (
Hindi sumasang-ayon
)
😠
Strongly Disagree (
Lubos na hindi sumasang-ayon
)
Suggestions on how we can further improve services
(Optional)
: (
Mga mungkahi kung paano naming mapapabuti ang mga serbisyo
)
Submit
