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CLIENT SATISFACTION MEASUREMENT FORM

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Service Availed

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

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 only 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 'N/A' on CC2 and CC3)

cc2

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

Easy to see

Somewhat easy to see

Difficult to see

Not visible at all

N/A

cc3

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

Helped very much

Somewhat helped

Did not help

N/A

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

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	N/A 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
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.

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