Satisfaction Quest Satisfaction Questionnaire

Satisfaction Questionnaire

Please circle the numbers that most appropriately reflect your impressions about using the Census 2010 form.

1. Filling in the form can be performed in a straight-forward manner:

Strongly Agree 1 2 3 4 5 6 7 Strongly Disagree

2. Organization of information on the form:

Very Confusing 1 2 3 4 5 6 7 Very clear

3. Use of terminology throughout the form:

Very Confusing 1 2 3 4 5 6 7 Very clear

4. Type of Information Collected:

Inadequate 1 2 3 4 5 6 7 Adequate

5. Census Bureau-specific terminology:

Too frequent 1 2 3 4 5 6 7 Appropriate

6. Characters on the form:

Very Hard to read 1 2 3 4 5 6 7 Very Easy to read

7. Learning to use the form:

Very Difficult 1 2 3 4 5 6 7 Very Easy

8. Questions on the form:

Very Confusing 1 2 3 4 5 6 7 Very clear

9. Navigating through the form (going from one question to the next):

Very Difficult 1 2 3 4 5 6 7 Very Easy

10. When I had to skip questions (going from one question to the next):

Very Difficult 1 2 3 4 5 6 7 Very Easy

11. Instructions on the form:

Very Confusing 1 2 3 4 5 6 7 Very clear

12. Writing answers in boxes:

Very Confusing 1 2 3 4 5 6 7 Very clear

13. Use of arrows pointing to boxes on form:

Very Confusing 1 2 3 4 5 6 7 Very clear

14. Overall reactions to the form:

Terrible 1 2 3 4 5 6 7 Wonderful

Very Frustrating 1 2 3 4 5 6 7 Very Pleasant

Very Difficult 1 2 3 4 5 6 7 Very Easy

15. Please add any additional comments. Please specify any difficulties. Use back of paper if necessary.