Customer Satisfaction Feedback Form

GOVPH

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About Us
BIDS AND AWARDS
GAD
Gallery
Consumer Page
Careers
Contact Us

The Client Satisfaction Measurement

The 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.

Account Name (optional)

Client Type

Date

Sex

Male Female

Age

Barangay

Service Availed

INSTRUCTIONS: Select 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 ands processing times among others.

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

1. I know what a CC is and I saw this office's CC. 2. I know what a CC is but I did NOT see this office's CC 3. I learned of the CC only when I saw this office's CC 4. 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...?

1. Easy to see 2. Somewhat easy to see 3. Difficult to see 4. Not visible at all 5. N/A

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

1. Helped very much 2. Somewhat helped 3. Did not help 4. N/A

INSTRUCTIONS: For SQD 0-8, please select the radio button that corresponds to your answer.

SQD0. I am Satisfied with the service that i availed.