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CUSTOMER 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.
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* Indicates required question
Client type:
*
Citizen
Business
Government (Employee or another agency)
Date:
*
Your answer
Sex:
*
Male
Female
Age:
Your answer
Region of residence:
Your answer
Service Availed:
*
Your answer
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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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's CC. (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 ...?
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1. Easy to see
2. Somewhat easy to see
3. Difficult to see
4. Not visible at all
5. N/A
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
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