FEMA Form 007-0-3
CALLER SERVICES REGISTRATION SURVEY
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FEMA FORM 90-147 |
FEMA FORM 007-0-3 |
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Registration Intake Survey |
Caller Services Registration Survey |
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KEY RATING QUESTION All right, (Applicant’s name), we’ll start with a very general question about the service you received from FEMA. |
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Page 2, Q#1 |
1. Overall, how would you rate the information and support you received from FEMA since the disaster occurred? Would you say it’s been…
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Page 2, Q#1a |
(If “Below average” or “Poor”, go to Q.1a, otherwise skip to Q.2) 1a. In what way was the information and support [Below average / poor ]?
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RI REPRESENTATIVE – ATTRIBUTE SERIES You may have already answered some of these questions; but, just to make sure I understand your opinions, I’m going to ask you some specific questions about the Representative you spoke with. 2b: How would you rate [HSR name] on showing a genuine interest in your situation?
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Let's start with questions specific to that telephone call. 1.Using a rating scale of Excellent, Good, Satisfactory, Below Average or Poor, how would you rate _________ on showing an interest in helping you? Excellent Good Satisfactory Below Average (or) Poor |
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(If response = Below Average or Poor go to Q1a.) 1a. What made you feel he/she was not interested?
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2h. How would you rate [HSR name/the representative] on clearly explaining the disaster assistance programs and services available to you? Would you say….
(DO NOT read) Don’t know / No opinion |
2.How would you rate (him/her): on providing information in an easy to understand manner? Excellent Good Satisfactory Below Average (or) Poor |
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If “below average / poor” go to Q.2i, otherwise skip to Q.3. 2i. What programs and services was [HSR name/the representative] unable to explain
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(If response = Below Average or Poor go to Q2a.) 2a. In what way was it Below Average or Poor?
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If response Excellent, go to Q2b. 2b. What specifically did (he/she) do to help you understand the information?
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Page 4, Q#2c |
2c.on taking the time to listen to the details of your situation?
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Page 4, Q#2d |
None |
None |
Page 4, Q#2e |
2e.on treating you with respect?
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Page 4, Q#2f Changed |
2f. How would you rate [HSR name/ the representative] overall attitude during your call? Would you say it was….
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3.How would you rate (him/her): on being courteous? Excellent Good Satisfactory Below Average (or) Poor |
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(If “Below average” / “Poor”, go to Q.2g., otherwise skip to Q.2h.) 2g. How was [HSR name/ the representative’s] attitude [ Below Average / Poor]?
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(If response = Below Average or Poor go to Q3a.) 3a. In what way was he/she not courteous?
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4.How would you rate (him/her): on letting you know what you needed to do next?Excellent Good Satisfactory Below Average (or) Poor |
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(If response = Below Average or Poor go to Q4a.) 4a. In what way was it Below Average/Poor?
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5. How effective was (he/she) in handling your registration: Would you say Extremely effective Very Effective Somewhat Effective Not Very Effective Or Not at all Effective |
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If response=Not Very Effective or Not at All Effective go to Q5a. 5a. In whaat way was (he/she) not effective?
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If response=Extremely Effective go to Q5b. 5b. What did (he/she) do that was especially effective?
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Thinking only about your initial telephone call to FEMA to apply for disaster assistance, how would you rate the way the Representative you spoke with handled your call? Would you say the [HSR name/representative] was …
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6.What was your overall impression of the customer service provided by _____________ (the rep)? Would you say it was Excellent Good Satisfactory Below Average (or) Poor |
Page 3, Q#2a Changed |
If (Below Average or Poor) go to Q. 2a, otherwise skip to Q.2b (attribute series). 2a. In what way was your call [below average / poor?)
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(If response = Satisfactory, Below Average or Poor go to Q6a.) 6a. What specifically could he/she have done better? Text Box |
Page 12, CQIAC-Reg#1 Changed |
This question is about the On-Line Internet Registration available at the FEMA.gov website. This allows you to enter your Registration over the internet and is available 24 hours a day 7 days a week. CQ IAC-Reg#1. Did you personally, attempt to do your Registration over the Internet?
(DO NOT read) Don’t remember |
The next question is about the Internet On-line Registration available at the FEMA.gov and DisasterAssistance.gov websites. 7. Did you personally attempt to do your Registration over the Internet? Yes No Don't remember |
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If no go to Question CQ IAC-Reg#1a. If yes go to Question CQ IAC-Reg#1b. If Don’t remember, go to Next Question CQ IAC-Reg#1a. What were your reasons for not using the internet?
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(If response = Yes go to 7b) (If response = No go to 7a) (If response = Don't remember go Q8) 7a. What were your reasons for not using the internet to register?
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Page 13, CQIAC-Reg#1b Changed |
CQ IAC-Reg#1b. Why were you unable to complete your registration over the Internet?
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7b. Why is the reason you were unable to complete your registration over the internet?
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Page 6, Q#3-3b |
POST DISASTER COMMUNICATION |
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Page 7, Q#4-4a |
CALL CENTER ACCESS |
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Page 7, Q#5-5a |
EASE OF APPLYING |
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Page 8, Q#6-6d |
INSPECTION TIMEFRAME |
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Page 9, Q#7-7a |
REPUTATION IN THE COMMUNITY |
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Page 10, Q#8-8b |
AGENCY REFERRALS |
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Page 11, Q#9 |
SUGGESTION TO IMPROVE |
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PERMISSION All right, (Applicant’s Name), I have only one more question for you. 10.FEMA is very interested in the quality of service we provide you. May we call you at a later date to ask you additional questions?
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8.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 |
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CLOSING If “yes,” Great! Thank you very much for your patience and cooperation in answering our questions. Have a good evening. If “No,” I understand. Thank you very much for taking the time to talk with me. Have a good evening. |
CLOSINGThank you very much for your time. Have a good day/evening. |
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File Type | application/msword |
File Title | FF-####, TITLE |
Author | FEMA Employee |
Last Modified By | mbilling |
File Modified | 2010-11-09 |
File Created | 2010-10-27 |