Scribd Logo
Upload

Welcome to Scribd!

  • 18 views

    ARTA-form-Questionnaire-Langgal NHS

    Uploaded by

    GLADYS MAE CAMPOS

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    ARTA-form-Questionnaire-Langgal NHS

    Uploaded by

    GLADYS MAE CAMPOS
    18 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views2 pages

    ARTA-form-Questionnaire-Langgal NHS

    Uploaded by

    GLADYS MAE CAMPOS

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Control No: ___ ANTI-RED TAPE AUTHORITY

    CLIENT SATISFACTION
    MEASUREMENT FORM
    PSA Approval No.: ARTA-2242-3
    Expires on 31 July 2023
    Republic of the Philippines
    Department of Education
    REGION XII
    LANGGAL NATIONAL HIGH SCHOOL
    LANGGAL, SENATOR NINOY AQUINO, SULTAN KUDARAT

    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.

    Client type: Citizen Business Government (Employee or another agency)

    Date: ___________ Sex: Male Female Age: _______

    Region of residence: _____________ 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 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 ‘N/A’ 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 4. Not visible at all
    2. Somewhat easy to see 5. N/A
    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.
    N/A

    Not
    Strongl Disagre Neither Agree Strongl Applica
    y e Agree nor y ble
    Disagre Disagree Agree
    e
    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. The steps (including payment) I
    needed to do for my transaction were
    easy and simple.
    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 the office was fair 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!

    You might also like