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HELP US SERVE YOU BETTER!
@csrf
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
Male
Female
Region of Residence
--- Please select your region ---
National Capital Region
Cordillera Administrative Region
Region 1 - Ilocos Region
Region 2 - Cagayan Valley
Region 3 - Central Luzon
Region 4A - Calabarzon
Region 4B - Mimaropa
Region 5 - Bicol Region
Region 6 - Western Visayas
Region 7 - Central Visayas
Region 8 - Eastern Visayas
Region 9 - Zamboanga Peninsula
Region 10 - Northern Mindanao
Region 11 - Davao Region
Region 12 - Soccksargen
Region 13 - Caraga
BARMM - Bangsamoro Autonomous Region in Muslim Mindanao
Client Type
--- Please select one ---
Citizen
Business
Government (Employee or another agency)
Agency Visited
Service Availed
--- Please select one ---
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INSTRUCTIONS:
Choose your answer to the Citizen's Charter (CC) questions.
CC1:
Do you know about the Citizen's Charter (document of an agency's services and requirements)?
Yes, aware before my transaction with this office
Yes, but aware only when I saw the CC of this office
No, not aware of the CC (Skip questions CC2 and CC3)
CC2:
If Yes to the previous question, did you see this office's Citizen's Charter?
Yes, the CC was easy to find
Yes, but the CC was hard to find
No, I did not see this office's CC (Skip question CC3)
CC3:
If
Yes
to the previous question, did you use the Citizen's Charter as a guide for the service/s you availed?
Yes, I was able to use the CC
No, I was not able to use the CC because . . .
INSTRUCTIONS:
For SQD 1-8, please choose on the selection that best corresponds to your answer.
SQD1:
I spent an acceptable amount of time to complete my transaction (Responsiveness)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD2:
The office accurately informed and followed the transaction's requirements and steps (Reliability)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD3:
My online transaction (including steps and payment) was simple and convenient (Access and Facilities)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD4:
I easily found information about my transaction from thee office or its website (Communication)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD5:
I paid an acceptable amount of fees for my transaction (Costs)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD6:
I am confident my online transaction was secure (Integrity)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD7:
The office's online support was available, or (if asked questions) online support was quick to respond (Assurance) staff, and (if asked for help) the staff was helpful.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
SQD8:
I got what I needed from the government office (Outcome)
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
REMARKS (optional):
Submit
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