Voice of the Customer
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Name *
Purpose *
Office Visited *
Service/s received  *
Contact details *
Date *
MM
/
DD
/
YYYY
Time *
Time
:
II. CLIENT SATISFACTION RATING
Kindly rate the quality of the service provided by checking the appropriate box. (Lagyan ng check ang kahong nagsasaad ng  iyong karanasan sa serbisyong natanggap.)
1. RESPONSIVENESS (PAGTUGON)

Willingness to help, assist, and provide prompt service (Handang tumugon at magbigay nang mabilis na serbisyo sa Kliyente)
*
Required
2. RELIABILITY (MAASAHAN)

Provision of what was needed and what was promised, in accordance with the policy and standards, with zero to a minimal error rate (Mahusay na pagbibigay ng serbisyo ayon sa itinakdang pamantayan)
*
Required
3. ACCESS AND FACILITIES (LOKASYON AT PASILIDAD)

Convinience of location, ample amenities for a comfortable transaction, and the use of clear signages and modes of technology. (Mabilis mapuntahan ang lugar at magamit ang pasilidad sa pamamagitan nang malinaw na karatula.)
*
Required
4. COMMUNICATION (PAKIKIPAG-USAP)

Act of keeping citizens and businesses informed in a language they can easily understand, as well as listening to their feedback. (Pakikipag-ugnayan sa kliyente sa paraang malinaw at nauunawaan kasama ang mga opinion at puna)
*
Required
5. COSTS (GASTOS)

Satisfactionn with the timeliness of the billing, billing process/es, preferred methods of payment period, value for money, acceptable range of costs, and qualitative information on the cost of each service. (Kontento sa serbisyong natanggap at sa halagang naging katumbas o binayaran)
6. INTEGRITY (KATAPATAN)

Capability of frontline staff/s to perform their duties, product and service knowledge, understanding client needs, helpfulness, and good work relationships. (Kasiguruhan na gampanan ang tungkulin, na may kaalaman sa serbisyo, pag-unawa sa mga pangangailangan ng kliyente, matulungin, at maayos na ugnayan sa trabaho)
*
Required
7. ASSURANCE (PAGTITIWALA)

Assurance that there is honesty, justice, fairness, and trust in each service while dealing with the clients and businesses(Pagtiyak sa serbisyong may katapatan, hustisya, patas, at tiwala habang nakikipag-ugnayan sa kliyente)
*
Required
8. OUTCOME 

Assurance that there is honesty, justice, fairness, and trust in each service while dealing with the clients and businesses(Pagtiyak sa serbisyong may katapatan, hustisya, patas, at tiwala habang nakikipag-ugnayan sa kliyente)
*
Required
Suggestions/Compliments/Comments (Suhestiyon/Papuri/Komento)
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