LGU BUUG FBMS

HELP US SERVE YOU BETTER!

This Client Satisfactory Measurement (CSM) tracks the customer experience of the government offices. Your Feedback on your recently concluded transaction will help this office provide a better service. Personal information shared will be kept and confidential.

Walk-In Client via Online Survey

Client Type

Citizen

Business

Government (Employee or Another Agency)

PERSONAL INFORMATION:

Name (Optional)

Gender

Age

Email (Optional)

PROVIDE FEEDBACK:

Department

Type of Service

INSTRUCTION: Click checkbox for 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 Citizen's Charter?

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 …?

1. Easy to see 2. Somewhat easy to see 3. Difficult to see 4. Not visible at all 5. N/A

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 2. Somewhat helped 3. Did not help 4. N/A

INSTRUCTION: For Service Quality Dimension (SQD) 0-8, please click checkbox/emoticons on column that best corresponds to your answer.

Strongly Agree (SA) Agree (A) Neither Agree or Disagree (NAD)

Disagree (D) Strongly Disagree (SD) Not Applicable (N/A)

Question	SA	A	NAD	D	SD	N/A
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's website.
SQD5. I paid a reasonable amount of fees for my transaction. (If service was free, mark the 'N/A' column).
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.

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