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Client type:

Sex:

Age:

Region of residence:

Service Availed:

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 I did not see one in this office.

CC2: If aware of CC, 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

CC3: If aware of CC, 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 SQD0-8, please put a check mark (✔) on the column that best corresponds to your answer.

Question	😞 Strongly Disagree	😕 Disagree	😐 Neither Agree nor Disagree	🙂 Agree	😃 Strongly Agree	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 complete 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 I asked for help) the staff was helpful.	✔	✔	✔	✔	✔	✔
SQD8: I got what I needed from the government office, or (if denied) the denial of my request was sufficiently explained to me.	✔	✔	✔	✔	✔	✔

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