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BISU Calape

Customer Satisfaction

Bagong Pilipinas TUV Rheinland

Feedback Form

Citizen's Charter (CC)

The Citizen's Charter is an official document that reflects the services of a government agency/office including its requirements, fees, and processing time among others.

Rating Scale
5 Very Satisfied 4 Satisfied 3 Neutral 2 Dissatisfied 1 Very Dissatisfied N/A Not Applicable
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Republic of the Philippines

BOHOL ISLAND STATE UNIVERSITY

Calape Campus, Bohol, Philippines

Office of the

Balance | Integrity | Stewardship | Uprightness

Bagong Pilipinas TUV Rheinland

COMPLAINT FORM

The Customer Satisfaction Feedback Complaint Form shall be given to any client who is experiencing dissatisfaction with the services rendered by the unit/office to take necessary actions whenever there is a need to. Please fill out this form with the needed data/information. Rest assured that the data/information gathered will be handled with confidentiality which is in accordance with the DATA PRIVACY ACT.

DETAILS OF THE COMPLAINANT

(Optional for Anonymity)

COMPLAINT DETAILS

(Required)

PROOF OF COMPLAINT (Document/s / Evidence/s / Witness/es) (May Use Attachments)

Supporting Attachment (Optional):
No file selected

COMPLAINT OUTCOME (As a result of making this complaint, what outcome would you like to have / to expect?)

Upon filling-up this form, I bind myself to stand on the truth of this complaint as a COMPLAINANT/AGGRIEVED PARTY on behalf of the public and the institution for legal proceedings may be required as provided by the existing laws.

Terms of Agreement - I agree that the provided information asked herein will be used by the University for whatever legal purpose it may serve.

Signature over Printed Name of the Complainant
(Date)
F-AQA-CSF-004 | Rev. 2 | 07/01/24 Page 1 of 1

Customer Satisfaction Analytics

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Real-time customer satisfaction metrics and service performance logs.

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Total Submissions

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Avg Satisfaction Rate

0.0

/ 5.0
Complaints

0

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Individual Office Monthly Report Card (MRC)

Generate or forward a single-office rating summary.

Official Summary Reports

Citizen's Charter (A), CSF Monthly Rating (B), and Commendations (C)

A. Citizen's Charter Summary Result

Demographics & Charter Knowledge Breakdown

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Offices Customers (f) Gender Client Type CC1 (Awareness) CC2 (Visibility) CC3 (Helpfulness)
M F Citizen Business Government CC 1-1 CC 1-2 CC 1-3 CC 1-4 CC 2-1 CC 2-2 CC 2-3 CC 2-4 CC 2-5 CC 3-1 CC 3-2 CC 3-3
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B. CSF Monthly Rating

Service Assessment Metrics across 8 Dimensions

Campus: CALAPE
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Offices Customers (f) Responsiveness Reliability Access & Facilities Communication Costs Integrity Assurance Outcome Mean Rating Description
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C. CSF Commendations and Suggestions

Qualitative Feedback & Action Plans

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Office Commendations Detail of Suggestions Root Cause Action Plan Target Date Implementation Status
Implemented On-going / Open Not Implemented
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Recent Customer Submissions Log

Verification Log
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Timestamp Office Visited Client Type Feedback Type Rating Score