Your participation in this voluntary survey is very important to use. Your feedback will be used to help improve our service to the public. Your participation should take 5 minutes or less.
Virtual Assistance Survey
Please indicate your satisfaction with the following Very Satisfied Very Dissatisfied
Picture clarity (video assistance) () () () () ()
Audio clarity (video assistance) () () () () ()
The flow/timing of communication (video assistance) () () () () ()
Overall satisfaction with virtual service provided () () () () ()
Promptness of service () () () () ()
Employee professionalism () () () () ()
Overall satisfaction with today’s visit () () () () ()
What was the main reason for your visit today?
() Get Tax forms or publications () Get a lien or levy released
() Make a payment () Drop off a completed tax return
() Set up a payment plan () Get an answer to a tax law question (not including
() Have a tax return prepared notice you received
() Resolve an IRS notice or letter () Get an ITIN
() Get a copy of a prior year return () Other (please specify):_________________________________
() Find out about a tax return
Were you provided the assistance you needed to resolve your main reason for visiting today?
() Yes () No
Was the main reason for your visit today available through the virtual service option?
() Yes () No
If not, what is your main next step? (Please select one)
() Not applicable, issue was resolved today () Seek assistance from another IRS representative
() Provide additional information to the IRS in a walk-in office () Complete and file tax return () Call the IRS telephone service
() Make payment(s) () Seek assistance from a tax preparer, accountant
() Set up a payment/installment agreement or tax attorney
() Wait for the IRS to contact me () Other (please specify) ______________________
If offered to you, would you be willing to use video assistance again during a future visit?
() Yes () No
Have you previously visited a local IRS office such as this one in the last 18 months?
() Yes () No
How long did you wait to receive service today?
() 1 to 30 minutes () 46 to 60 minutes () Over 90 minutes
() 31 to 45 minutes () 61 to 90 minutes
8. About how long did it take you to travel to this location?
() Less than 15 minutes () 31 to 45 minutes () More than 61 minutes
() 16 to 30 minutes () 46 to 60 minutes
9. What category best describes your total income last year?
() Less than $15,000 () $35,001 to $50,000 () $75,001 to $100,000
() $15,001 to $25,000 () $50,001 to $75,000 () $100,001 or more
() $25,001 to $35,000
10. Do you claim Earned Income Tax Credit (EITC)?
() Yes () No
11. What category describes your current age?
() 18 to 24 years () 45 to 54 years () 75 to 84 years
() 25 to 34 years () 55 to 64 years () 85 years and over
() 35 to 44 years () 65 to 74 years () Don’t know
12. Please provide your comments or suggestions regarding the virtual service delivery you experienced today including your opinions on how video service compares to in person assistance.
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Paperwork Reduction Act Notice
The Paperwork Reduction Act requires that the IRS display an OMB control number on all public information requests along with the address where you can send comments regarding this study. The OMB number for this study is 1545-1432. If you have any comments regarding this study, please write to: IRS Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Avenue, NW, Washington, DC 20224
| File Type | application/msword |
| File Title | Virtual Assistance Survey |
| Author | GGZLB |
| Last Modified By | ysflb |
| File Modified | 2011-08-03 |
| File Created | 2011-08-03 |