SAS Online Portal

JOSE RIZAL MEMORIAL STATE UNIVERSITY

The Premier University in Zamboanga del Norte

DSAS Online Customer Feedback Form

Student Information

ID Number

Given Name

Middle Name

Family Name

Sex

Age

Region

Course

Major

Year Level

Service Delivered and Availed:

Issuance of Certificate of Good Conduct

Filing of Complaint Againts a student/some students

Online Application and Printing of School ID

Releasing of Student Handbook

Processing of Application/Renewal to Avail of Student financial Assistance Program

Releasing of Student Financial Assistance

Re-issuance of School ID and Student Handbook

Processing of Student Accident Insurance Claim

Processing Student Clearance

INSTRUCTIONS: Please select your answer to the Citizen's Charter (CC) questions. The Citizen's Charter is an official document that reflects the services of government agency/office including its requirements, fees, and processing times amonth oters.

CC	1	2	3	4	5
CC1. Which of the following best describes your awareness of a CC?	I know what a CC is and I saw this office's CC.	I know what a CC is but I did NOT see this office's CC.	I learned of the CC on when i saw this office's CC.	I do not know what a CC is and I did not see one in this office. (Answer "NA" on CC2 and CC3).
CC2. If aware of CC (answered1-3 in CC1), would you say that the CC of this was..?	Easy to see.	Somewhat easy to see.	Difficult to see.	Not Visible at all	N/A
CC3. If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction?	Helped very much.	Somewhat helped.	Did not help.	N/A

Legend:

Scale	Verbal Description	Interpretation
5	Strongly Agree (SA)	The client is VERY MUCH SATISFIED whose satisfaction level ranges from 81% - 100%
4	Agree (A)	The client is MUCH SATISFIED whose satisfaction level ranges from 61% - 80%
3	Neutral (N)	The client is SATISFIED whose satisfaction level ranges from 41% - 60%
2	Disagree (D)	The client is LESS SATISFIED whose satisfaction level ranges from 21% - 40%.
1	Strongly Disagree	The client is NOT SATISFIED whose satisfaction level ranges from 1% - 20%

INSTRUCTIONS: for SQD 0-8, please select.

SQD	SA	A	N	D	SD
1. I am satisfied with the service that i availed.
2. I spent a reasonable amount of time for my transaction.
3. The office followed the transaction's requirement and steps based on the information provided.
4. The steps(including payment) I needed to do for my transaction were easy and simple.
5. I easily found information about my transaction from the office or its website.
6. I paid a reasonable amount of fees for my transaction.
7. I feel the office was fair to everyone, or "walang palakasan", during my transaction.
8. I was treated courteously by the staff, and (if asked for help) the staff was helpful.
9. I got what i needed from the government office, or (if denied) denial of request was sufficiently explained to me.

Suggestions to improve our service:

JOSE RIZAL MEMORIAL STATE UNIVERSITY

The Premier University in Zamboanga del Norte

DSAS Online Customer Feedback Form

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