Client Satisfaction Measurement
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.

Email or phone number:*

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Client type:*

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Date:*

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Sex: *

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Age:*

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Region of residence:*

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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 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?*

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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?*

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INSTRUCTIONS:

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

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

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SQD1. I spent a reasonable amount of time for my transaction.*

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SQD2. The office followed the transaction’s requirements and steps based on the information provided.*

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

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SQD4. I easily found information about my transaction from the office’s website.*

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SQD5. I paid a reasonable amount of fees for my transaction. (If service was free, mark the ‘N/A’ column)*

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SQD6. I am confident my online transaction was secure.*

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SQD7. The office's online support was available, and (if asked questions) online support was quick to respond.*

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

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