Client Satisfaction Measurement

This Client Satisfaction Measurement 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 not to answer this form.

* Indicates required question

Page 1 of 3

Page 2 of 3

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.

Question Answer (check one)
CC1 – Which of the following best describes awareness of a CC? *
CC2 – If aware of CC (answered 1-3 in CC1), would you say that the CC of this office was...? *
CC3 – If aware of CC (answered codes 1-3 in CC1), how much did the CC help in your transaction? *

Page 3 of 3

INSTRUCTIONS: For SQD 1-9, please put a check mark (✔) on the column that best corresponds to the answer.

Statement Strongly Agree Agree Neither Agree nor Disagree Disagree N/A Not Applicable
I am satisfied with the service that I availed.
I spent a reasonable amount of time for my transaction.
The office followed the transaction's requirements and steps based on the information provided.
The steps (including payment) I needed to do for my transaction were easy and simple.
I easily found information about my transaction from the office's website.
I paid a reasonable amount of fees for my transaction. (If service was free, mark the 'N/A' column)
I am confident my online transaction was secure.
The office's online support was available, and (if asked questions) online support was quick to respond.
I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me.

All SQD rows are required; use N/A if not applicable for that item.