1660-0036 Changees to Internet Inquiry

1660-0036 Change Request Chart Internet Inq 10-28-10.doc

Federal Emergency Management Agency (FEMA) Individual Assistance Customer Satisfaction Surveys

1660-0036 Changees to Internet Inquiry

OMB: 1660-0036

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FEMA Form 007-0-19

Internet Inquiry Survey


CURRENT LOCATION

CURRENT/OLDREVISED TEXT

REVISED TEXT


FF90-151 Internet Inquiry Survey

FEMA Form 007-0-19 Internet Inquiry Survey

Pg 2 #1

No Change

1. Which of the following websites did you use to access your disaster assistance application?

a) DisasterAssistance.gov

b) FEMA.gov

1. Which of the following websites did you use to access your disaster assistance application?

a) DisasterAssistance.gov

b) FEMA.gov

Pg 2 #1a

No Change

1a. How did you find out about that website?

  • Newspaper

  • Radio

  • Community Group

  • Television

  • Flyer

  • Friend or Family

  • Disaster Worker

  • Internet Search

  • g) Other

1a. How did you find out about that website?

  • Newspaper

  • Radio

  • Community Group

  • Television

  • Flyer

  • Friend or Family

  • Disaster Worker

  • Internet Search

  • Other

Pg 2 #2

No Change

2. You were offered an option to take an anonymous Pre-Screening Questionnaire. Did you take the questionnaire?

  • Yes

  • No

  • Don’t Remember

2. You were offered an option to take an anonymous Pre-Screening Questionnaire. Did you take the questionnaire?

  • Yes

  • No

  • Don’t Remember

Pg 2 #2a

No Change

2a. This series of questions relate only to that questionnaire. How would you rate the questions on being easy to understand?

  • Extremely Easy

  • Very Easy

  • Easy

  • Not Very Easy

  • Not at all Easy

  • No Opinion

2a. This series of questions relate only to that questionnaire. How would you rate the questions on being easy to understand?

  • Extremely Easy

  • Very Easy

  • Easy

  • Not Very Easy

  • Not at all Easy

  • No Opinion

Pg 3, #2b

No Change

2b. After completing the questionnaire you may have received information about other agencies. How helpful was that information?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • No Opinion

2b. After completing the questionnaire you may have received information about other agencies. How helpful was that information?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • No Opinion

Pg 3 #2c

No Change

2c. How could the information have been more helpful?

  • More concise information

  • More detailed information

  • Provide contact phone number

  • Provide web address

  • Make less complicated

  • Other (Specify)

2c. How could the information have been more helpful?

  • More concise information

  • More detailed information

  • Provide contact phone number

  • Provide web address

  • Make less complicated

  • Other (Specify)

Page 4 #3

No Change

3. The website provided the ability to browse information by category or by agency. How helpful was it to browse by:

3. The website provided the ability to browse information by category or by agency. How helpful was it to browse by:

Page 4 #3a

No Change

3a. Category?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • Did not use this method

  • No Opinion

3a. Category?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • Did not use this method

  • No Opinion

Page 4 #3b

No Change

3b. What about by Agency?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • No Opinion

3b. What about by Agency?

  • Extremely Helpful

  • Very Helpful

  • Helpful

  • Not Very Helpful

  • Not at all Helpful

  • No Opinion

Pg 5 #4

No Change

4. Overall, how would you rate this website for obtaining disaster assistance information? Would you say it was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

4. Overall, how would you rate this website for obtaining disaster assistance information? Would you say it was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

Pg 5 #4a

No Change

4a. Tell me a little about your reasons for that rating.

  • Difficulty navigating the screens

  • Questions hard to understand

  • Response option hard to understand

  • Referrals were too lengthy

  • Referrals were hard to understand

  • No contact phone numbers on referrals

  • No web address / link on referrals

  • Technical problems

  • Other (Specify)

4a. Tell me a little about your reasons for that rating.

  • Difficulty navigating the screens

  • Questions hard to understand

  • Response option hard to understand

  • Referrals were too lengthy

  • Referrals were hard to understand

  • No contact phone numbers on referrals

  • No web address / link on referrals

  • Technical problems

  • Other (Specify)

Pg 6 #5

No Change

5. For the next questions please think only about your experience in using the internet to view or change your disaster assistance application. Overall, how would you rate that experience? Would you say it was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

5. For the next questions please think only about your experience in using the internet to view or change your disaster assistance application. Overall, how would you rate that experience? Would you say it was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

Pg 6 #5a

In the Options - One word changed

5a. Tell me a little about your reasons for that rating.

  • System was difficult to use

  • Took too long to view/edit information

  • Technical problems

  • Instructions were hard to understand

  • Help Page information was not clear

  • Did not provide information needed

5a. Tell me a little about your reasons for that rating.

  • Screen was difficult to use

  • Took too long to view/edit information

  • Technical problems

  • Instructions were hard to understand

  • Help Page information was not clear

  • Did not provide information needed

Pg 7 #6

No Change

6. Each screen included a "Help for this Page" button to assist you in filling out your application. Would you say the help information was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • Did not Use

6. Each screen included a "Help for this Page" button to assist you in filling out your application. Would you say the help information was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • Did not Use

Pg 7 #6a

No Change

6a. In what way was the help information below average or poor?

  • Information was too complicated

  • Did not understand the terms used

  • Not enough information provided

  • Other (Specify)

6a. In what way was the help information below average or poor?

  • Information was too complicated

  • Did not understand the terms used

  • Not enough information provided

  • Other (Specify)

Pg 8 #7

No Change

7. The Application Overview screen provided a summary of the categories of assistance, status of your Claim, date approved and eligible amount. How would you rate this section on providing needed information?

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

7. The Application Overview screen provided a summary of the categories of assistance, status of your Claim, date approved and eligible amount. How would you rate this section on providing needed information?

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

Pg 8 #7a

No Change

7a. What were your reasons for this rating?

  • Did not understand Category Information

  • Did not understand Status Information

  • Not enough details provided

  • Help instructions not clear

  • Other (Specify)

7a. What were your reasons for this rating?

  • Did not understand Category Information

  • Did not understand Status Information

  • Not enough details provided

  • Help instructions not clear

  • Other (Specify)

Pg 9 #8

Separated Options

8. The Correspondence screen summarized correspondence sent from FEMA as well as letters and faxes you sent to FEMA. How would you rate this section? Would you say that information was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • Didn/t use /No Opinion

8. The Correspondence screen summarized correspondence sent from FEMA as well as letters and faxes you sent to FEMA. How would you rate this section? Would you say that information was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • Did not Use

  • No Opinion

Pg 9 #8a

Two Options split out

8a. In what way was the correspondence information below average or poor?

  • Items requested by FEMA were difficult to understand

  • Items I sent to FEMA were not listed as received

  • Summary of letter was difficult to understand

  • Help instructions not clear

  • Other (Specify)

8a. In what way was the correspondence information below average or poor?

  • Items requested by FEMA were difficult to understand

  • Items I sent to FEMA were not listed as received

  • Summary of letter was difficult to understand

  • Help instructions not clear

  • Other (Specify)

Pg 10 #9

Separated Options

9. The Agency screen provided contact information for other agencies or organizations that may be able to assist you. Would you say that information provided was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average or

  • Poor

  • Didn’t Use / No Opinion

9. The Agency screen provided contact information for other agencies or organizations that may be able to assist you. Would you say that information provided was:

  • Excellent

  • Good

  • Satisfactory

  • Below Average or

  • Poor

  • Didn’t Use

  • No Opinion

Pg 10 #9a

No Change

9a. In what way was the information Below Average or Poor?

  • Descriptions of agency services was difficult to understand

  • Agency contact information was incomplete

  • No agency found for assistance needed

  • Help instructions not clear

  • Other (Specify)

9a. In what way was the information Below Average or Poor?

  • Descriptions of agency services was difficult to understand

  • Agency contact information was incomplete

  • No agency found for assistance needed

  • Help instructions not clear

  • Other (Specify)

Pg 11 #10

One word in the question changed

10. Did you use the website's Technical Support services such as e-mailing or calling the 800 number about a technical problem?

  • Yes

  • No

10. Did you call the website's Technical Support 800 number about a technical problem?

  • Yes

  • No

Pg 11 #10a

Deleted

10a. Which contact method did you use?

e-mail

  • 800 number

  • both

Deleted

Pg 11 #10b

No Change

10b. Thinking only about your communications with Technical Support, how would rate the service you received? Would you say it was?

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

10b. Thinking only about your communication with Technical Support, how would rate the service you received? Would you say it was?

  • Excellent

  • Good

  • Satisfactory

  • Below Average

  • Poor

  • No Opinion

Pg 12 #10c

Removed options

10c. In what way was the support Below Average or Poor?

  1. 800 Number Tech did not answer question

  2. Took too long to get through to 800 Number

  3. 800 Number gave incorrect info

  4. 800 Number Poor customer Service

  5. e-mail response did not answer question

  6. Took too long to get e-mail response

  7. e-mail gave incorrect information

  8. Other (Specify)

10c. In what way was the support Below Average or Poor?

  • 800 Number Tech did not answer question

  • Took too long to get through to 800 Number

  • 800 Number gave incorrect info

  • 800 Number Poor customer Service

  • Other (Specify)

Pg 12 #11

No Change


11. If you need to check on your FEMA application again, how likely would you be to use the internet? Would you:

  • Definitely use

  • Probably Use

  • Might or Might Not use

  • Probably would Not use

  • Definitely would Not use

  • No Opinion

11. If you need to check on your FEMA application again, how likely would you be to use the internet? Would you:

  • Definitely use

  • Probably Use

  • Might or Might Not use

  • Probably would Not use

  • Definitely would Not use

  • No Opinion

Pg 13 #11a

No Change

11a. What changes are needed to increase the likelihood? (Specify)

11a. What changes are needed to increase the likelihood? (Specify)

Pg 13 Q#13

No Change

12. Would you recommend the site to a friend or family member?

  • Yes

  • No

  • Don't Know

12. Would you recommend the site to a friend or family member?

  • Yes

  • No

  • Don't Know

Pg 13 #13

No Change

13. All right, I have only one more question. FEMA is very interested in the quality of service we provide. May we call you at a later date if we have additional questions?

  • Yes

  • No

13. All right, I have only one more question. FEMA is very interested in the quality of service we provide. May we call you at a later date if we have additional questions?

  1. Yes

  2. No


Thank you very much for your time. Have a good day/evening.

Thank you very much for your time. Have a good day/evening.


FF90-151 Internet Inquiry Survey - Change Request 5

File Typeapplication/msword
File TitleFF-####, TITLE
AuthorFEMA Employee
Last Modified Bymbilling
File Modified2010-11-04
File Created2010-10-28

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