PACCUOS | Feedback

Public Assistance Coordinating
and Complaints Unit Online System

Feedback Form - ENGLISH

HELP US SERVE YOU BETTER!

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 remain be kept confidential and you always have the option to not answer this form.

Client Type: *

Citizen

Student

Farmer

Landowner

Government Employee

Others

Date: *

Sex: *

Age Group: *

Region of Concern: *

Service Availed: *

Time In: *

Time Out: *

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?

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 did not see one in this office.

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 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

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


	Strongly Disagree	Disagree	Neither	Agree	Strongly Agree	Not Applicable
SQD0. I am satisfied with the service 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 (I denied) denial or request was sufficiently explained to me.

Suggestions on how we can further improve our services (optional):