HELP US SERVE YOU BETTER!

This short Client Satisfaction Measurement (CSM) survey aims to track the customer experience of government offices. Your answers will enable this office to provide a better service.

Age:

Sex:

Region:

Department:

Service availed:

Customer type:

Office Visited

Citizen’s Charter (CC) Questions

CC1: Do you know about the Citizen’s Charter?

Yes, aware before my transaction Yes, aware when I saw the CC No, not aware

CC2: Did you see the Citizen’s Charter of this office?

Yes, the CC was easy to find Yes, but hard to find No, I did not see the CC

CC3: If yes to the previous question, did you use the CC as a guide for your services?

Yes, I was able to use CC No, I was unable to use the CC

Please read each statement and select a number, 1, 2, 3, 4, or 5 which indicates how the statement applies. There are no right or wrong answers. Do not spend too much time on any statement.

The rating scale is as follows:

5 Strongly Agree
4 Agree
3 Neither Agree nor Disagree
2 Disagree
1 Strongly Disagree

* Take note - All fields must be filled out before proceeding

1. SQD0. I am satisfied with the service that I availed.

Select Scale

2. SQD1. I spent a reasonable amount of time for transaction.

Select Scale

3. SQD2. The office followed the transaction requirements and steps based on the information provided.

Select Scale

4. SQD3. The steps (including payment) I needed to do for my transaction were easy and simple.

Select Scale

5. SQD4 I easily found information about my transaction form the office or its website.

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6. SQD5. I paid a reasonable amount or fees for my transaction. (If serve was free, mark the N/A column).

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7. SQD6. I feel the was fair to everyone, or "walang palakasan" during my transaction.

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8. SQD7. I was treated courteously by the staff, and (if asked for help) the staff was helpful.

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9. SQD8. I got what I needed from the government office of (if denied) denial of request was sufficiently explained to me explained.

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Remarks (optional):