CLIENT SATISFACTION MEASUREMENT 

HELP US SERVE YOU BETTER!

This Client Satisfaction Measurement (CSM) tracks the customer experience of government offices. Your feedback on your recently concluded transaction will help this office provide a better service. Personal information shared will be kept confidential and you always have the option to not answer this form.

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Data Privacy Act Consent
This form serves as a client feedback mechanism of the University of the Philippines Visayas and its offices/units.  All information and responses collected, which may include some personal information, shall be kept confidential.  The University of the Philippines and its offices/units shall observe the Philippines Data Privacy of 2012 in the collection and perusal of the information provided in this form.  By filling out and submitting this form, you consent to and authorize the office/UPV in the collection, lawful use, and/or lawful disclosure of your personal information provided in this Client Satisfaction Measurement (CSM) form.
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Client Type: *
Sex: *
Age:  *
Region of residence: *
Service availed: *
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