Application for Certification of Student Records and Other Relevant Documents- Client Satisfaction Survey
Form description
Email*
Valid email
Responsiveness: How satisfied are you in with the assistance and speed in whichthe service was delivered in person, by telephone, by email?
*
Question
Responsiveness: How satisfied are you in with the assistance and speed in whichthe service was delivered in person, by telephone, by email?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Responsiveness: How satisfied are you in with the politeness and courteousnessof the personnel dealing with you?
*
Question
Responsiveness: How satisfied are you in with the politeness and courteousnessof the personnel dealing with you?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Reliability (Quality): How satisfied are you with the quality of advice, guidanceand accuracy of information in which the services was rendered?
*
Question
Reliability (Quality): How satisfied are you with the quality of advice, guidanceand accuracy of information in which the services was rendered?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Access and Facilities: How satisfied are you with the provision of facilities interms of cleanlines and comfort (e.g. holding area, offices, toilets, etc) ?
*
Question
Access and Facilities: How satisfied are you with the provision of facilities interms of cleanlines and comfort (e.g. holding area, offices, toilets, etc) ?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Communication: How satisfied are you that our written communications wereclear, concise, and in understandable language?
*
Question
Communication: How satisfied are you that our written communications wereclear, concise, and in understandable language?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Communication: How satisfied are you of the explanations of the services youneeded in an understandable manner?
*
Question
Communication: How satisfied are you of the explanations of the services youneeded in an understandable manner?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Costs: How satisfied are you with the amount of your fees and cost given thequality of services provided?
*
Question
Costs: How satisfied are you with the amount of your fees and cost given thequality of services provided?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
*
Question
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
*
Question
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Assurance: How satisfied are you with the ability of our staff to meet yourservice needs?
*
Question
Assurance: How satisfied are you with the ability of our staff to meet yourservice needs?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Outcome: How satisfied are you with the overall quality of the services youreceived?
*
Question
Outcome: How satisfied are you with the overall quality of the services youreceived?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Very Dissatisfied
Very Satisfied
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Comments/Suggestions
*
Question
Comments/Suggestions
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
Responsiveness: How satisfied are you in with the assistance and speed in whichthe service was delivered in person, by telephone, by email?
Copy
No responses yet for this question.
Responsiveness: How satisfied are you in with the politeness and courteousnessof the personnel dealing with you?
Copy
No responses yet for this question.
Reliability (Quality): How satisfied are you with the quality of advice, guidanceand accuracy of information in which the services was rendered?
Copy
No responses yet for this question.
Access and Facilities: How satisfied are you with the provision of facilities interms of cleanlines and comfort (e.g. holding area, offices, toilets, etc) ?
Copy
No responses yet for this question.
Communication: How satisfied are you that our written communications wereclear, concise, and in understandable language?
Copy
No responses yet for this question.
Communication: How satisfied are you of the explanations of the services youneeded in an understandable manner?
Copy
No responses yet for this question.
Costs: How satisfied are you with the amount of your fees and cost given thequality of services provided?
Copy
No responses yet for this question.
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
Copy
No responses yet for this question.
Integrity: How satisfied are you with the professionalism shows by the personnelhandling the services you have requested?
Copy
No responses yet for this question.
Assurance: How satisfied are you with the ability of our staff to meet yourservice needs?
Copy
No responses yet for this question.
Outcome: How satisfied are you with the overall quality of the services youreceived?
Copy
No responses yet for this question.
Comments/Suggestions
Copy
No responses yet for this question.
Waiting for responses
of
12
of
1
Loading...
Loading response…
Grades from previous versions of this form are hidden. Learn more
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Do not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more