CSM FORM – Center for Sustainable Development – Batangas State University TNEU

CLIENT SATISFACTION MEASUREMENT (CSM) FORM

This form aims to track the customer experiences of Batangas State University, the National Engineering University. Your feedback on your recently concluded transaction will help this office provide a better service. HELP US SERVE YOU BETTER!

DATA PRIVACY COMMITMENT

Pursuant to Republic Act No. 10173, also known as the Data Privacy Act of 2012, Batangas State University, The National Engineering University recognizes its commitment to protect and respect the privacy of its customers and/or stakeholders and ensure that all information collected from them are protected in accordance with the principles of transparency, security and legitimate interest.

I hereby give my consent and hereby authorize Batangas State University, The National Engineering University to share, disclose, or transfer No Data Privacy Act of 2012 my personal data with a third party in the pursuit of journalistic, artistic, literary, research or any legal purposes in compliance with the

CONTACT INFORMATION

Name (Optional)

Contact Number (Optional)

Date

Time

Region

Age

Sex

Office/College Visited/Transacted with

Service availed/Nature of Transaction

CUSTOMER TYPE

Employee

Faculty

Student

Alumni

Guest

Parent

Others

INSTRUCTIONS: Check Mark (✓) your answer to the Citizen's Charter (CC) questions.

CC1 - Do you know about the Citizen's Charter (document of an agency/office's service and requirements)?

Yes, aware before my transaction with this office

Yes, I saw the CC of this office

No, not aware of the CC (skip questions CC2 and CC3)

CC2 - If YES to the previous question, did you see this office's Citizen's Charter?

Yes, the CC was easy to find

Yes, but the CC was hard to find

No, I did not see this office's CC

CC3 - If YES to the previous question, did you use the Citizen's Charter as a guide for the service/s you availed?

Yes, I was able to use the CC

No, I was not able to use the CC

INSTRUCTIONS: For SQD0-8, please encircle the number that corresponds to your answer:

Scale	1	2	3	4	5
Description	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
SQD0: I am satisfied with the service that I availed.
SQD1: I spent an acceptable amount of time to complete my transaction (Responsiveness)
SQD2: The office accurately informed and followed the transaction's requirements and steps (Reliability)
SQD3: I easily found information about my transaction from the office or its website (Communication)
SQD4: I paid no fees/an acceptable amount of fees for my transaction (Cost)
SQD5: I am confident my transaction was secure (Integrity)
SQD6: The office's support was available, or (if asked questions) support was quick to respond (Assurance)
SQD7: I got what I needed from the University (Outcome)
SQD8a: My transaction (including steps, payment and location) was simple and convenient (Access and Facilities)
SQD8b: My online transaction (including steps and payment) was simple and convenient (Access and Facilities)

COMMENTS AND SUGGESTIONS

GHG MANAGEMENT SYSTEM

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