Provision of Preventive Maintenance and Technical Assistance on ICT Resources (Customer Satisfaction Survey Form)

Kindly fill-up this survey form and let us know your experience while transacting official business with us. DILG shall comply with the Republic Act No. 10173 or the Data Privacy Act of 2012; any personal information you choose to share will be kept confidential.

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ICT Technical Assistance Reference Number *
Client Type *
Age *
Gender *
Region of residence:  *
CC1. Do you know about the Citizen’s Charter? *

CC2. If your answer to the previous question is Yes, did you see this office’s CC?

 *

CC3.   If your answer to the previous question is Yes, did you use the CC as a guide for the services you availed?

 *
SQD0. I am satisfied with the service that I availed.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD1. I spent an acceptable amount of time for my transaction.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD2. The office accurately informed me and followed the transaction’s requirements and steps.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD3. My online transaction (including steps and payment) was simple and convenient.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD4. I easily found information about my transaction from the office or its website.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD5. I paid an acceptable amount of fees for my transaction.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD6. I am confident that my online transaction was secure.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD7. The office’s online support was available, or (if asked questions) was quick to respond.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating
SQD8. I got what I needed from the government office.
 *
(5) Strongly Agree
(4) – Agree
(3) – Neutral
(2) – Disagree
(1) – Strongly Disagree
N/A Not applicable
Rating

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