1660-0036 changes to Caller Services RI

1660-0036 Change Request Chart Caller Services RI 10-26-10.doc

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

1660-0036 changes to Caller Services RI

OMB: 1660-0036

Document [doc]
Download: doc | pdf

FEMA Form 007-0-3

CALLER SERVICES REGISTRATION SURVEY


CURRENT LOCATION

CURRENT TEXT

REVISED TEXT


FEMA FORM 90-147

FEMA FORM 007-0-3


Registration Intake Survey

Caller Services Registration Survey

Page 2

KEY RATING QUESTION

All right, (Applicant’s name), we’ll start with a very general question about the service you received from FEMA.

Deleted

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…

  • Excellent

  • Good

  • Satisfactory

  • Below average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion

Deleted

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 ]?

  • Did not receive enough / any financial Assistance

  • Poor Customer Service (Attitude, Respect, Interest, etc.)

  • Application process too complicated

  • Information inconsistent or wrong, programs not explained clearly

  • Dissatisfaction with Inspection

  • Difficulty REACHING FEMA

  • Insurance related issues (has coverage so no assistance, etc.)

  • Took too long to complete application

  • Other


Deleted

Page 4, Q#2b

Changed

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?

  • Excellent

  • Good

  • Average

  • Below average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion


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

Revised=New


(If response = Below Average or Poor go to Q1a.)

1a. What made you feel he/she was not interested?

  • Rushed call

  • Didn't Answer Questions

  • Didn't Listen

  • No Empathy

  • Minimize my losses

  • Didn’t make me Eligible

  • Other

Page 5, Q#2h

Changed

2h. How would you rate [HSR name/the representative] on clearly explaining the disaster assistance programs and services available to you? Would you say….

  • Excellent

  • Good

  • Satisfactory

  • Below Average, or

  • Poor

(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

Page 5, Q#2i

Changed

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

  • Language Barrier

  • Transportation

  • Rental/Hotel/Motel

  • Programs not explained or not accurately

  • Personal Property

  • Access Road/Bridge/Driveway, DEBRIS Removal

  • Other


(If response = Below Average or Poor go to Q2a.)

2a. In what way was it Below Average or Poor?

  • Talked Too Fast

  • Speech unclear

  • Too Complicated

  • Inconsistent Info

  • Other

Revised=New


If response Excellent, go to Q2b.

2b. What specifically did (he/she) do to help you understand the information?

  • Patient

  • Used easy terminology

  • Asked if understood

  • Repeated information

  • Other

Page 4, Q#2c

2c.on taking the time to listen to the details of your situation?

  • Excellent

  • Good

  • Average

  • Below average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion

Deleted

Page 4, Q#2d

None

None

Page 4, Q#2e

2e.on treating you with respect?

  • Excellent

  • Good

  • Average

  • Below average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion

Deleted

Page 4, Q#2f

Changed

2f. How would you rate [HSR name/ the representative] overall attitude during your call? Would you say it was….

  • Excellent

  • Good

  • Satisfactory

  • Below average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion

3.How would you rate (him/her): on being courteous?

Excellent

Good

Satisfactory

Below Average (or)

Poor

Page 4, Q#2g

Changed

(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]?

  • CONDESCENDING, Disrespectful

  • IMPATIENT; did not Listen

  • RUDE/Discourteous

  • Not interested, no compassion, no empathy

  • Other


(If response = Below Average or Poor go to Q3a.)

3a. In what way was he/she not courteous?

  • Impatient

  • Interrupted

  • Accusatory

  • Condescending

  • Tone of Voice

  • Other

Revised=New


4.How would you rate (him/her): on letting you know what you needed to do next?

Excellent

Good

Satisfactory

Below Average (or)

Poor

Revised=New


(If response = Below Average or Poor go to Q4a.)

4a. In what way was it Below Average/Poor?

  • Next Steps not given

  • Didn't Answer Questions

  • Too much info

  • No time to write info

  • Too Confusing

  • Other

Revised=New


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

Revised=New


If response=Not Very Effective or Not at All Effective go to Q5a.

5a. In whaat way was (he/she) not effective?

  • Inconsistent information

  • Didn’t answer my questions

  • Did not trust agent / recorded info accurately

  • No confidence in agent’s knowledge

  • Took too long

Revised=New


If response=Extremely Effective go to Q5b.

5b. What did (he/she) do that was especially effective?

  • Provided valuable information

  • Answered questions

  • Instilled confidence

  • Quick but didn’t rush

  • Other

Page 3, Q#2

Changed

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 …

  • Excellent

  • Good

  • Satisfactory

  • Below Average, or

  • Poor

  • (DO NOT read) Don’t know / No opinion

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?)

  • Didn’t receive any / enough ASSISTANCE

  • Rep had poor ATTITUDE

  • Language Barrier

  • Didn’t EXPLAIN programs clearly or could not answer questions

  • Didn’t seem INTERESTED in helping me

  • Didn’t take time to LISTEN to me

  • Took TOO LONG to complete application

  • Rep made errors on my application or the call (disconnected me, etc.)

  • Didn’t treat me with RESPECT

  • Other (Specify)

(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?

  • Yes

  • No

(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

Page 12, CQIAC-Reg#1a

Changed

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?

  • Don’t have a COMPUTER

  • Don’t have Internet ACCESS

  • Computer DAMAGED

  • Limited computer SKILLS

  • SECURITY Concerns

  • WEBSITE was not accessible

  • Wanted to TALK to FEMA

  • DIDN’T KNOW I could register on-line

  • UTILITIES were out could not use computer

Other (Specify)

(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?

  • No Computer

  • Limited Computer Skills

  • Website not accessible

  • No Internet Access

  • Security Concerns

  • Didn't know I could

  • Computer Damaged

  • Preferred to Talk to FEMA

  • Utilities out

  • Other (Specify)

Page 13, CQIAC-Reg#1b

Changed

CQ IAC-Reg#1b. Why were you unable to complete your registration over the Internet?

  • Did not have compatible BROWSER

  • Unable to NAVIGATE FEMA.gov

  • GENERAL instructions not clear

  • SPECIFIC instructions for entering data not clear

  • Too COMPLICATED / difficult to use

  • Not confident so ALSO registered over the phone

  • Unable to ACCESS the site of page

  • Difficulty with characters on SECURITY SCREEN

  • Response time too slow

  • Could not complete due to TECHNICAL problems

  • HELP DESK could not answer to technical questions

  • Took TOO LONG

  • Other (Specify)

7b. Why is the reason you were unable to complete your registration over the internet?

  • Browser Issues

  • Navigation Issues

  • Instructions unclear

  • Security Concerns

  • Preferred to Talk to FEMA

  • Website not accessible

  • Too complicated/difficult

  • Registered on phone also

  • Security screen characters

  • Slow Internet response time

  • Technical problems

  • Took too long

  • Other (Specify)

Page 6, Q#3-3b

POST DISASTER COMMUNICATION

Deleted

Page 7, Q#4-4a

CALL CENTER ACCESS

Deleted

Page 7, Q#5-5a

EASE OF APPLYING

Deleted

Page 8, Q#6-6d

INSPECTION TIMEFRAME

Deleted

Page 9, Q#7-7a

REPUTATION IN THE COMMUNITY

Deleted

Page 10, Q#8-8b

AGENCY REFERRALS

Deleted

Page 11, Q#9

SUGGESTION TO IMPROVE

Deleted


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?

  • Yes

  • No

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


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.

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








File Typeapplication/msword
File TitleFF-####, TITLE
AuthorFEMA Employee
Last Modified Bymbilling
File Modified2010-11-09
File Created2010-10-27

© 2024 OMB.report | Privacy Policy