Form 285 eVfy 285 eVfy 285 DHS CIS eVerify Questionnaire

Customer Satisfaction Measure of Government Websites

285 DHS CIS eVerify Questionnaire FINAL 12-4-09.xls

283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
#REF! red & strike-through: DELETE





#REF! underlined & italicized: RE-ORDER





#REF! pink: ADDITION





Date: 11/18/2009 blue + -->: REWORDING















#REF!
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 CQ Label


Does your company use E-Verify? Yes A Drop down, select one S Y
Use E-Verify


No B





Don't know A





I am not employed by or do not own a company





B Is your company considering using E-Verify? Yes
Drop down, select one S N
Consider using E-Verify


No






Don't know





A Did, or will, you play any role in your company’s decision whether to use, or not use, E-Verify? Yes D Drop down, select one S N
Play role in using E-Verify


No






Don't know





B,D How likely is your company to become a new E-Verify user as a result of visiting this site? 1=Very Unlikely
Radio button, scale, no don't know S N
New user


2






3






4






5






6






7






8






9






10=Very Likely





A,B Is your company mandated by federal, state or local law to participate in E-Verify? Yes
Drop down, select one S N
Mandated


No






Don't know





A,B Approximately how many people are employed at your company? 1 to 4
Drop down, select one S N
Number of employees


5 to 9






10 to 19






20 to 49






50 to 99






100 to 249






250 to 499






500 to 999






1,000 to 2,499






2,500 to 4,999






5,000 to 9,999






10,000 or more






For what reasons did you visit the E-Verify site today? (Check all that apply.) Learn about E-Verify in general
Checkbox, one-up vertical M Y
Reasons for visiting


Learn about E-Verify requirements for federal contractors






Sign up for a webinar






Learn how to contact E-Verify






Enroll in the E-Verify program






Other, please specify: A




A Other reasons for visiting the E-Verify site today.

Text area, no char limit
N
Other reasons


What was the primary reason you visited the E-Verify site today? (Check only one response.) Learn about E-Verify in general
Radio button, one-up vertical S Y
Primary reason


Learn about E-Verify requirements for federal contractors






Sign up for a webinar






Learn how to contact E-Verify






Enroll in the E-Verify program






Other, please specify: A




A Other primary reason for visiting the E-Verify site today.

Text area, no char limit
N
Other primary reasons


Were you able to find what you were looking for at the E-Verify site? Yes
Drop down, select one S Y
Find info


For the most part






Only partially






No






How frequently do you visit this E-Verify site? First time
Drop down, select one S Y
Frequency


Almost every day






Once or twice a week






Once or twice a month






Less than Once a month






What could be done to make this site more useful?

Text area, no char limit
N
Improvement


How easy was it for you to understand the information on this E-Verify site? Very easy
Radio button, one-up vertical S Y
Easy to understand


Somewhat easy






Somewhat difficult






Very difficult






How easy was it to find what you were looking for? Very easy
Radio button, one-up vertical S Y
Easy to find



Somewhat easy







Somewhat difficult







Very difficult






In which of the following ways would you like to get more information about E-Verify? (Check all that apply) Facebook
Checkbox, one-up vertical M Y
Format


Twitter






Blogs






YouTube videos






Wikis






Internet discussion boards






E-mail subscriber lists






Text messaging






Other, please specify: A





None





A Other format in which would like to get more info about E-Verify.

Text area, no char limit
N
Other format


Which of the following best describes your role? I am a human resources professional seeking information for my employer
Radio button, one-up vertical S Y
Role



I am an attorney or designated agent representing my employer or client








I am a business owner/company executive seeking information for my business








I am an employee seeking information because my employer uses or may use E-Verify








I represent an industry organization or advocacy group that follows E-Verify








I am a member of the news media seeking information for a story on E-Verify








I am doing policy research for a government legislator or agency








I am person who just happens to be interested in E-Verify








Other, please specify: A





A Other role coming to the site.

Text area, no char limit
N
Other role
File Typeapplication/vnd.ms-excel
File TitleQuestionnaire Production Guidelines_Template
AuthorProfessional Services
Last Modified Bysgrow
File Modified2009-12-04
File Created2001-08-03

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