Apayao State College

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Republic of the Philippines

APAYAO STATE COLLEGE

Quality Assurance Office

CLIENT SATISFACTION SURVEY

Document Code: ASC-QAO-IQF-04

Effectivity Date: 03/17/2023

Revision No: 02

Page No: 1 of 1

HELP US SERVE YOU BETTER!

This short Client Satisfaction Measurement (CSM) survey aims to track the customer experience of government offices. Your answers will enable this office to provide a better service.

Screen 1 of 6

Personal Information

Please provide your basic information.

If enabled, your name will be hidden from the office staff, but demographic data (age, sex, email) is still required for reporting purposes.

Service Information

Please provide information about the service you availed.

Citizen's Charter Questions

INSTRUCTIONS: Please select your answers to the following questions about the Citizen's Charter.

CC1: Do you know about the Citizen's Charter (document of an agency's services and requirements)?

CC2: If Yes to the previous question, did you see this office's Citizen's Charter?

CC3: If Yes to the previous question, did you use the Citizen's Charter as a guide for the service/s you availed?

Service Quality Rating (Part 1)

INSTRUCTIONS: Please select the number that corresponds to your level of agreement with each statement.

SQD0. I am satisfied with the service (Satisfaction)
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SQD1. I spent an acceptable amount of time to complete my transaction (Responsiveness)
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SQD2. The office accurately informed and followed the transaction's requirements and steps (Reliability)
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SQD3. My online transaction (including steps and payment) was simple and convenient (Access and Facilities)
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SQD4. I easily found information about my transaction from the office or its website (Communication)
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Service Quality Rating (Part 2)

INSTRUCTIONS: Please continue with your ratings.

SQD5. I paid an acceptable amount of fees for my transaction (Costs)
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SQD6. I am confident my online transaction was secure (Integrity)
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SQD7. The office's online support was available, or (if asked questions) online support was quick to respond (Assurance)
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SQD8. I got what I needed from the government office (Outcome)
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Additional Comments

Please provide any additional comments or suggestions about your experience.

Please review your responses before submitting. Once submitted, you won't be able to make changes.
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