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red & strike-through: DELETE |
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| FTC ComplaintAssistant |
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underlined & italicized: RE-ORDER |
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| MID: Existing Measure - Please fill in; New Measure - DOT will fill in |
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pink: ADDITION |
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| Date: |
6/26/2009 |
blue + -->: REWORDING |
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| FTC ComplaintAssistant CUSTOM QUESTION LIST |
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QID
(Group ID) |
Skip Logic Label |
Question Text |
Answer Choices
(limited to 50 characters) |
Skip to |
Type (select from list) |
Single or Multi |
Required
Y/N |
Special Instructions |
25 character limit. Leave blank if you want DOT to fill this part out.
CQ Label |
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Type 5 OPS
Were you aware of the FTC ComplaintAssistant before visiting the site today? |
Yes |
B |
Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
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No |
C |
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Not sure |
C |
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B |
If you were aware of the FTC ComplaintAssistant process, how many times have you used it in the past to register a complaint? |
0 |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
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1 |
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2 |
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3 or more |
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C |
If you were not aware of the FTC ComplaintAssistant before today, how did you find us? |
FTC Website |
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Checkbox, one-up vertical |
Multi |
Y |
Skip Logic Group |
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FTC Publication |
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Search engine |
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Another website |
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Referral from another agency, please specify |
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Friend/family member |
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Contacted the FTC |
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Other, please specify |
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A |
Please let us know how you found us. |
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Text area, no char limit |
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N |
Skip Logic Group |
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Was the FTC ComplaintAssistant easy to use? |
Yes |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
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No |
D |
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Not sure |
D |
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D |
If it was not easy to use, what did you find difficult? |
I did not understand which category I should have selected (i.e. automobile, internet, etc.). |
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Checkbox, one-up vertical |
Multi |
Y |
Skip Logic Group |
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I did not understand what I was supposed to do. |
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I was unable to submit my complaint. |
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Other, please specify |
A |
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A |
Please let us know what other difficulties you had. |
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Skip Logic Group |
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If you could make one improvement to the FTC ComplaintAssistant process, what would it be? |
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Text area, no char limit |
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N |
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