Background: Health centre has the responsibility to give health services to community and developed them to achieve a healthy life. That was the reason that health services should be given with the best quality. Customer oriented service quality was one of many quality assurance in health services. Customer oriented service quality was based on client oriented-provider efficient which was developed by Engenderhealth and in its development. This kind of quality improvement was suggested to implemented in health centres since it will complied both the provider and patients demand. Research questions is, it is possible to implemented customer oriented service quality in health centres? Can it be used as criterions to measure health services performances in health centers? Objective of this study was to identifity health services performance in health centre using customer oriented service quality instruments. Methods: Customer oriented service quality was implemented in five health centres in the district of Aceh Tenggara which was chosen using purposive sampling design. Health services performance was measured through one cycle of customer oriented service quality instruments which consist of self assesment, review on patients document and patient flow as criterion. Standars achievement of each criterion was established by researchers. Results: The result shows that customer oriented service quality instruments that was self assesment, review on patients document and patients flow can be implemented as criterion of health services performance in health centre. But, with notification that each criterion must achive it's optimalitation in each items in the criterion and no zero percent. Standarts in time scheduling in each part of patients flow must also be determinant. Recomendation: Implementating customer oriented service quality in health service quality in health centres will get a double profit that was improving quality and measuring health services performance in health centres with notification on the criterion. Key words: customer oriented service quality, instruments, health services performance, health centre