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Client SatisfactionMeasurement Form

The document is a Client Satisfaction Measurement form designed to gather feedback from clients of government offices to improve service quality. It includes questions about the Citizen's Charter awareness, satisfaction with services, and suggestions for improvement. Personal information is kept confidential, and participation is optional.

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Kobe B. Zenaby
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25 views1 page

Client SatisfactionMeasurement Form

The document is a Client Satisfaction Measurement form designed to gather feedback from clients of government offices to improve service quality. It includes questions about the Citizen's Charter awareness, satisfaction with services, and suggestions for improvement. Personal information is kept confidential, and participation is optional.

Uploaded by

Kobe B. Zenaby
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ANTI-RED TAPE AUTHORITY

CLIENT SATISFACTION
Control No: ____ MEASUREMENT FORM
LIBERTY INTEGRATED SCHOOL PSA Approval No; ARTA-
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.

Client type: Citizen Business Government (Employee or another agency)

Date: Sex: Male Female 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. your awareness of a CC?
1. I know what a CC is and I saw this office's CC.
2. I know what o 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 'NIA' 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 4. Not visible at all
2. Somewhat easy to see 5. NIA
3. Difficult to see

CC3 If aware of CC (answered codes 1-3 in cc-1), how much did the CC help you in your transaction?
1. Helped very much 3. Did not help
2. Somewhat helped 4. NIA

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

Not
Strongly Disagree Neither Agree Agree Strongly Applicable
DisaQree nor DisaQree AQree
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.
SOD4. I easily found information about my
transaction from the office or its website.
SQDS. I paid a reasonable amount of fees for
mv 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.
SODS. 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):

Email address (optional):

THANK YOU!

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