NVSU CLIENT SATISFACTION SURVEY FORM

NVSU CLIENT SATISFACTION
MEASUREMENT FORM

HELP US SERVE BETTER!

This Client Satisfaction Measurement (CSM) tracks the customer experience of government offices. Your feedback on your recently concluded transsaction 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

Date

Sex

Male

Female

Age

Region of Residence

Service Availed

submit multiple services

Instructions: Check mark (✓) your answer to the Citizen's Charter (CC) questions. The Citizen's Charter is an official documents that reflects the services of a government agency/office including its requirements, fees, and proccessing times among others.

cc1

Which of the following best describes your awareness of a CC

I know what a CC is and I saw this office's CC.

I know what a CC is, but I did NOT see this office's CC.

I learned of the CC only when I saw this office's CC.

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

Somewhat easy to see

Difficult to see

Not visible at all

N/A

cc3

If aware of CC (answered 1-3 in CC1), how much did the CC help you in your transaction?

Helped very much

Somewhat helped

Did not help

N/A

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

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	N/A Not Applicable
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 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)

NVSU CLIENT SATISFACTION MEASUREMENT FORM

HELP US SERVE BETTER!

NVSU CLIENT SATISFACTION
MEASUREMENT FORM