Puskesmas or community health center is a first-level health service that functions to carry out public health efforts by prioritizing promotive and preventive functions in its management area. Adequate facilities and good service quality will affect customer satisfaction in using puskesmas services. To encourage the growth of good service quality, the puskesmas management must collect information from consumers as a reference for developing the quality of service, facilities, and promotion of puskesmas in accordance with what is expected by consumers by using three methods of assessing service quality, namely Servqual, Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA). The results of calculations using the CSI method have a satisfaction index value of 72.07% and are included in the satisfied category with a gap between 66%-80%.