Client Satisfaction Measurement (CSM)

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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Deartment or Unit *
Client Type:
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Date:
MM
/
DD
/
YYYY
Sex:
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Age:
Region of Residence:
Service Availed:

INSTRUCTIONS: Check mark ( ) your answer to the Citizen’s Charter (CC) questions. The Citizen’s Charter is an official document that reflects the services of a government agency/office including its requirements, fees, and processing times among others.

CC1 Which of the following best describes your awareness of a CC?

Clear selection

CC2  If aware of CC (answered 1-3 in CC1), would you say that the CC of this office was …?

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CC3  If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction?

Clear selection

INSTRUCTIONS:

For SQD 0-8, please put a check mark ( ) on the column that best corresponds to your answer.

*
Captionless Image
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
Not Applicable
SQD0. I am satisfied with the service that I availed.
SQD1. I spent a reasonable amount of time for my transaction.
SQD2. The office followed the transaction’s requirements and steps based on the information provided.
SQD3. The steps (including payment) I needed to do for my transaction were easy and simple.
SQD4. I easily found information about my transaction from the office or its website
SQD5. I paid a reasonable amount of fees for my transaction. (If service was free, mark the ‘N/A’ column)
SQD6. I feel the office was fair to everyone, or “walang palakasan”, during my transaction.
SQD7. I was treated courteously by the staff, and (if asked for help) the staff was helpful.
SQD8. I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me.

Suggestions on how we can further improve our services (optional): 

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