Citizen Report Card Order Number PeaceOpoly provides a safe platform for citizens to express their opinion and views about their government, performance of political leadership, and public service agencies. We invite you to complete the Citizen Report Card. Your completion of the CRC is anonymous. The Citizen Report Card is currently open to citizens of Nigeria who are registered on the Citizen Forum. If you are not registered on the Forum, you will not be eligible to participate in the awards for good citizenry, so we encourage you to register first here. We expect to open this up to other African countries in the near future. * Indicates a required field.1. How do you rate your State Government performance in the following areas? Primary and Secondary Education * Poor Fair Good Very Good Portable Water Supply * Poor Fair Good Very Good Rural Roads * Poor Fair Good Very Good Environmental Sanitation * Poor Fair Good Very Good Public Transportation * Poor Fair Good Very Good Parks and Recreation * Poor Fair Good Very Good Youth and Women Empowerment * Poor Fair Good Very Good Health * Poor Fair Good Very Good Waste Management * Poor Fair Good Very Good On a scale of 1 to 7 (1= not important and 7 = very important) rate the following as a characteristic of a democratic society. Citizens have right to vote * 1 2 3 4 5 6 7 Citizens have right to demand accountability * 1 2 3 4 5 6 7 Public officials have an obligation to be accountable * 1 2 3 4 5 6 7 Freedom of speech * 1 2 3 4 5 6 7 Freedom of association * 1 2 3 4 5 6 7 The Judiciary is independent of political office holders * 1 2 3 4 5 6 7 There is due process of Law * 1 2 3 4 5 6 7 3. Rate the following Public Agencies and Institutions on their effectiveness. Police * Very Ineffective Ineffective Effective Very Effective Military * Very Ineffective Ineffective Effective Very Effective Legal * Very Ineffective Ineffective Effective Very Effective Education * Very Ineffective Ineffective Effective Very Effective Health * Very Ineffective Ineffective Effective Very Effective Customs and Excise * Very Ineffective Ineffective Effective Very Effective Power and Energy * Very Ineffective Ineffective Effective Very Effective 4. On a scale of 1 to 7 ( 1= not a characteristic, 4=don’t know, 7= very much a characteristic) rate each of the following as a characteristic of an effective political leader. Legitimacy * 1 2 3 4 5 6 7 Public accountability * 1 2 3 4 5 6 7 Initiating action * 1 2 3 4 5 6 7 Consideration * 1 2 3 4 5 6 7 Transparency in service delivery * 1 2 3 4 5 6 7 Respect and mutual trust * 1 2 3 4 5 6 7 People skills * 1 2 3 4 5 6 7 Autocratic * 1 2 3 4 5 6 7 5. On a scale of 1 to 7 (1= not important, 4=don’t know and 7= very important) assess the importance of the following in the development of Nigeria. Agriculture * 1 2 3 4 5 6 7 Industry * 1 2 3 4 5 6 7 Science * 1 2 3 4 5 6 7 Technology * 1 2 3 4 5 6 7 Defense * 1 2 3 4 5 6 7 Infrastructure * 1 2 3 4 5 6 7 Power * 1 2 3 4 5 6 7 Transportation * 1 2 3 4 5 6 7 Human resources * 1 2 3 4 5 6 7 Health * 1 2 3 4 5 6 7 6. If you have any other comments or observations, please use the box below (2000 characters or less) * 7. How old are you? * 1 8. Education? * Primary Secondary University/Polytechnic No Formal Education 9. What is your gender? * Male Female 10. What is your state of origin? * FCT Abuja Abia Adamawa Anambra Akwa Ibom Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Enugu Edo Ekiti Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara 11. What is your Local Government Area? * 12. What is your opinion about the PeaceOpoly Citizen Report Card? (2000 characters or less) * This Citizen Scorecard is anonymous. However, if you want to be entered into our monthly drawing to win airtime credit, you have to provide a valid email address. 13. Do you want to enter into our monthly drawing? * Yes No
