ECFS FORM 5-OTHER LOCATOR ASSISTANCE SERVICES
In our effort to continually improve the delivery of our programs and services, we give great value to your feedback (Sa aming layunin na patuloy na paghusayan ang pagbibigay ng aming mga programa at serbisyo, pinahahalagahan naming ang inyong komento/mungkahi). Please help us serve you best by providing your responses to this survey (Mangyari ay tulungan ninyo kaming mapagsilibihan kayo nang mahusay sa pamamagitan ng pagsagot sa ilang katanungan).

DATA PRIVACY STATEMENT: Cagayan Economic Zone Authority (CEZA) recognizes its responsibilities under the Republic Act (RA) No. 10173, also known as the Data Privacy Act of 2012, with respect to the data it collects, records, organizes, updates, uses, consolidates, or destructs from clients. The collection of herein personal and sensitive data would be treated with utmost confidentiality and shall only be used for the intended purpose. We shall implement reasonable and appropriate physical and technical security measures for the protection of personal data which we collect.

Proceed only if you agree with the statement.
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Name (Pangalan)
Contact No. (Telepono)
Person Visited (Pangalan ng Kinatawan) *
Signature (Lagda)
Please indicate your name initials.
Which of the following best describes your awareness of a CC?( Alin sa mga sumusunod ang naglalarawan sa iyong kaalaman sa CC?). *
Required
If aware of CC (answered 1-3 in CC1), would you say that the CC of this office was …? (Kung alam ang CC (Nag-tsek sa opsyon 1-3 sa CC1), masasabi mo ba na ang CC nang napuntahang opisina ay…) *
Required
If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction? (Kung alam ang CC (nag-tsek sa opsyon 1-3 sa CC1), gaano nakatulong ang CC sa transaksyon mo?)
*
Required
1. Please check which service/s apply/ies (Paki-tsek kung aling serbisyo ang napakinabangan). *
Required
2. Date of availed of the service (Petsa ng pagkuha ng serbisyo). *
MM
/
DD
/
YYYY
3. Please check the number that best describes your assessment of the program/service availed of and the quality of our facilities (Pakibilugan ang bilang na tumutugma sa iyong kasagutan). *
5 = Excellent 4 = Very Satisfactory 3 = Satisfactory 2 = Unsatisfactory 1 = Poor
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2
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5
Responsiveness
Reliability
Access and Facilities
Communication
Costs
Integrity
Assurance
Outcome
4. As a whole, are you satisfied with the services provided by CEZA for this transaction (Sa kabuuan, ikaw ba ay kuntento sa serbisyong naibigay ng CEZA sa iyo para sa transaksyong ito)?
Clear selection
Please specify which services are best or worst (Pakisaad kung aling servisyo and pinaka-maganda o pinaka-pangit).
5. Do you have any compliments (Mayroon ka pa bang papuri)?
6. Do you have any suggestions (Mayroon ka pa bang mungkahi)?
7. Do you have any complaints (Mayroon ka pa bang reklamo)?
Thank you (Salamat po).
Submit
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