The document is a client satisfaction survey from an agency seeking feedback on a citizen's recent experience with their services. It asks questions about awareness of and assistance from a Citizen's Charter, satisfaction with various aspects of the transaction, and suggestions for improvement.
The document is a client satisfaction survey from an agency seeking feedback on a citizen's recent experience with their services. It asks questions about awareness of and assistance from a Citizen's Charter, satisfaction with various aspects of the transaction, and suggestions for improvement.
The document is a client satisfaction survey from an agency seeking feedback on a citizen's recent experience with their services. It asks questions about awareness of and assistance from a Citizen's Charter, satisfaction with various aspects of the transaction, and suggestions for improvement.
The document is a client satisfaction survey from an agency seeking feedback on a citizen's recent experience with their services. It asks questions about awareness of and assistance from a Citizen's Charter, satisfaction with various aspects of the transaction, and suggestions for improvement.
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(Insert agency logo here) (Insert agency name here)
Control No: ___ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM PSA Approval No.: ARTA-2242-3 Expires on 31 July 2023
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.
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 4. Not visible at all 2. Somewhat easy to see 5. N/A 3. Difficult to see
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 3. Did not help 2. Somewhat helped 4. N/A
INSTRUCTIONS: For SQD 0-8, please put a check mark (✔ ) on the column that best corresponds to your answer. N/A
Not Strongl Disagre Neither Agre Strongl Applicab y e Agree nor e y Agree le Disagre Disagree e 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 ANTI-RED TAPE AUTHORITY CLIENT SATISFACTION MEASUREMENT FORM PSA Approval No.: ARTA-2242-3 office, or (if denied) denial of request was Expires on 31 July 2023 sufficiently explained to me.
Suggestions on how we can further improve our services (optional):
