OMB # 1545-1432
Appeals Virtual Service Delivery – SURVEY
Thank you for participating in the Appeals Virtual Service Delivery Project. In order to assist us with providing quality service for this and future video projects, please complete the following survey and submit it through your Low Income Tax Clinic Representative to our office. This survey is completely voluntary and should take less than 5 minutes to complete.
On a scale of 1 to 5, with 1 being Very Dissatisfied and 5 being Very Satisfied, please rate your satisfaction with the following: Very Very
Dissatisfied Neutral Satisfied
Picture quality (1) (2) (3) (4) (5)
Audio quality (1) (2) (3) (4) (5)
The flow of communication (transmission delays) (1) (2) (3) (4) (5)
Overall satisfaction with virtual service provided (1) (2) (3) (4) (5)
Promptness of Service (1) (2) (3) (4) (5)
Professionalism of Appeals employee (1) (2) (3) (4) (5)
Knowledge of Appeals Employee in regard to my Issue (1) (2) (3) (4) (5)
How well Appeals employee listened to my Concerns (1) (2) (3) (4) (5)
Courtesy of the Appeals employee (1) (2) (3) (4) (5)
Overall Satisfaction with today’s Conference (1) (2) (3) (4) (5)
What was the main reason for your conference today?
( ) Request for Release of Levy-CDP ( ) Request for Withdrawal/Release of Lien-CDP
( ) Offer-In-Compromise ( ) Make a Payment
( ) Setup a Payment Plan ( ) Submit Tax Return(s)
( ) Submission of Documents ( ) Resolve an IRS Notice or Letter
( ) Other (please specify):_________________________________
Did you receive the assistance needed to resolve the main reason for your conference today?
( ) Yes ( ) No
If not, what is your next step? (Please select one)
( ) Provide Additional Information to IRS ( ) Complete and File Tax Return(s)
( ) Make a Payment(s) ( ) Setup a Payment Plan/Installment Agreement
( ) Wait for IRS to Contact Me ( ) Proceed with Legal Action
( ) Other (please specify) _________________________________
If offered to you, would you be willing to use video conferencing again during a future visit?
( ) Yes ( ) No
Approximately, how long did it take you to travel to this location?
( ) 15 minutes or less ( ) 31 to 45 minutes ( ) More than 60 minutes
( ) 16 to 30 minutes ( ) 46 to 60 minutes
Which 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 ( ) Decline to answer
Please provide any comments or suggestions you may have regarding the Virtual Service Delivery you experienced today, including your opinions on how video conferencing compares to in-person assistance?
__________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
Thank you for completing this survey. Your feedback will be used to help improve our service utilizing video conferencing in the future.
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 (08-16-11) |
| Author | Robert A. Northcutt |
| Last Modified By | mdsloa00 |
| File Modified | 2011-12-13 |
| File Created | 2011-12-13 |