Full Name

Contact Number

Email Address

Client Type

Citizen

Business

Government

Date

Sex

Male

Female

Age

Region of Residence

CC1

Which of the following best describes your awareness of a CCC?

I know what a CC is and I saw this office's CC.

I know what a CC is but I did NOT see this office's CC.

I learned of the CC only when I saw this office's CC.

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... ?

Easy to see

Somewhat easy to see

Difficult to see

Not visible at all

N/A

CC3

If aware of CC (answered codes 1-3 in CC1), how much did the CC help you in your transaction?

Helped very much

Somewhat helped

Did not help

N/A

Service Quality Dimension (SQD)

SQD0. I am satisfied with the service that I availed.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD1. I spent a reasonable amount of time for my transaction.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD2. The office followed the transaction’s requirements and steps based on the information provided.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD3. The steps (including payment) I needed to do for my transaction were easy and simple.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD4. I easily found information about mu transaction from the office ir its website.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD5. I paid a reasonable amount of fees for my transaction.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD6. I feel the office was fair to everyone, or “walang palakasan”, during my transaction.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD7. I was treated courteously by the staff, and (if asked for help) the staff was helpful.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

SQD8. I got what I needed from the government office, or (if denied) denial of request was sufficiently explained to me.

Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT