FSR 249 Citizen Feedback Questionnaire

Customer Satisfaction Measure of Government Websites

FSR 249 CitizenFeedback Questionaire.xls

FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback

OMB: 1505-0186

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CS CitizenFeedback

























Based on your experiences, please rate this government organization (agency, bureau or office) on the following issues: 1=Poor







10=Excellent
1 The honesty and openness it shows about policies, practices and/or procedures. 1 2 3 4 5 6 7 8 9 10
2 How well it provides information that is useful to you. 1 2 3 4 5 6 7 8 9 10
2R How well it discloses information you would expect it to provide. 1 2 3 4 5 6 7 8 9 10
3 The opportunities available for the public to provide suggestions and input. 1 2 3 4 5 6 7 8 9 10
4 The consistency of its policies with other government organizations. 1 2 3 4 5 6 7 8 9 10
4R How well you think it collaborates with other government bodies or organizations. 1 2 3 4 5 6 7 8 9 10












5 What additional information could be provided by this organization that would be of greatest use to you?









5R What additional information do you think this organization should provide about itself?









6 How can this organization increase your participation in government?









7 How can government organizations work with the public more effectively?






















Please rate this website using the following scales: 1=Very Dissatisfied







10=Very Satisfied
8 What is your overall satisfaction with this website? 1 2 3 4 5 6 7 8 9 10













1=Falls Short of Expectations







10=Exceeds Expectations
9 How well does this website meet your expectations? 1 2 3 4 5 6 7 8 9 10














1=Not Very Close to Ideal







10=Very Close to Ideal
10 How does this website compare to your ideal website? 1 2 3 4 5 6 7 8 9 10
File Typeapplication/vnd.ms-excel
AuthorRuss Merz
Last Modified Bybjinnohara
File Modified2009-02-20
File Created2009-02-13

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