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Service Quality Dimensions (SQD)

This document is a client satisfaction survey for a municipal government office in the Philippines. It collects feedback from citizens, businesses, and other government agencies on their experience receiving services from the office. The survey asks questions about the respondent's awareness and use of the office's Citizen's Charter, which outlines the services, requirements, fees and processing times. It also asks the respondent to rate their level of agreement with statements about their experience, such as whether the process was easy to understand, the fees were reasonable, and they were treated courteously. Finally, it invites optional suggestions for improving services and collects the respondent's contact information if they choose to provide it.

Uploaded by

Recto Pineda
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
1K views18 pages

Service Quality Dimensions (SQD)

This document is a client satisfaction survey for a municipal government office in the Philippines. It collects feedback from citizens, businesses, and other government agencies on their experience receiving services from the office. The survey asks questions about the respondent's awareness and use of the office's Citizen's Charter, which outlines the services, requirements, fees and processing times. It also asks the respondent to rate their level of agreement with statements about their experience, such as whether the process was easy to understand, the fees were reasonable, and they were treated courteously. Finally, it invites optional suggestions for improving services and collects the respondent's contact information if they choose to provide it.

Uploaded by

Recto Pineda
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
You are on page 1/ 18

Control No: __ ANTI-RED TAPE AUTHORITY

CLIENT SATISFACTION MEASUREMENT FORM


PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

OFFICE OF THE SANGGUNIANG BAYAN

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL ENGINEERING OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL PLANNING & DEVELOPMENT OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL TOURISM OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL SOCIAL WELFARE & DEVELOPMENT OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL ACCOUNTING

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL CIVIL REGISTRAR

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

HUMAN RESOURCE & MANAGEMENT OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL ASSESSOR

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL AGRICULTURE OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

OFFICE OF THE MENRO

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL TREASURER OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL BUDGET OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

BUSINESS ONE STOP SHOP

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL BIDS AND AWARDS COMMITTEE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

RURAL HEALTH UNIT

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

MUNICIPAL DISASTER RISK REDUCTION AND MANAGEMENT OFFICE

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 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!!
Control No: __ ANTI-RED TAPE AUTHORITY
CLIENT SATISFACTION MEASUREMENT FORM
PSA APPROVAL No. ARTA-2242-3
Expires on 31 July 2023

Republic of the Philippines


PROVINCE OF NUEVA ECIJA
Municipality of Gabaldon
-oOo-

OFFICE OF THE MUNICIPAL MAYOR

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 requirement, 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 …?
 Easy to see 
 2. Somewhat easy to see  4. 4.Not
Notvisible at all
visible at all
 5. N/A
 3. Different to see  5. N/A
 4. Not visible at all

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 help
 4. N/A
INTRUCTIONS:
For SQD 0-8, please put check mark ( ) on the column that best corresponds to your answer.

N/A

Strongly Disagree Neither agree Agree Strongly Not


Disagree nor Disagree Agree Applicable
SQD0. I am satisfied with the service that
availed.
SQD1. I spent a reasonable amount of time
for my transaction.
SQD2. The office followed the transaction’s
requirements and steps based on
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 office, or (if denied) denial of
request was sufficiently explained to me.

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THANK YOU!!

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