Name ("First Name and
Last Name")
Age
Sex
-- Select Sex --
MALE
FEMALE
Prefer not to say
Email Address
Type of Client
-- Select Type --
Individual/Citizen
Business/Company Representative
Organization Representative
School Representative
Government Agency Representative
Type of Service Availed
-- Select Service --
(AFD-HRMU) Government Internship Program
(SMD) International Programs Application and Screening
(SMD) Process of Media Requests for Media Guestings/ Appearances
(RYDD) Request for Technical Assistance
(SMD) Ship for Southeast Asian and Japanese Youth Program
(SMD) Youth Organization Registration Program
Other, Please Spicify
Date Availed
CC1. Which of the following best describes your
awareness of a CC?
-- Please Select --
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 the 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
CC2. Would you say that the CC of this office
was…?
-- Please Select --
1. Easy to see
2. Somewhat easy to see
3. Difficult to see
4. Not visible at all
5. N/A
CC3. How much did the CC help you in your
transaction?
-- Please Select --
1. Helped very much
2. Somewhat helped
3. Did not help
4. N/A
1. SQD0.I am satisfied with the service that I availed.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
2. SQD1. I spent a reasonable amount of time on my transaction.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
3. SQD2. The office followed the transaction’s requirements and steps based on the information provided.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
4. SQD3. The steps I needed to do for my transaction were easy and simple.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
5. SQD4. I easily found information about my transaction from the office or its website.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
6. SQD5. I paid a reasonable amount of fees for my transaction.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
7. SQD6. I feel the office was fair to everyone, or “walang palakasan”, during my transaction.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
8. SQD7. I was treated courteously by the staff, and (if asked for help) the staff was helpful.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
9. SQD8. I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me.
-- please Select --
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
Comments / Suggestions / Commendations / Complaints on the
service received:
Submit Form