FEMA Form 007-0-20
DISASTER ASSISTANCE & SATISFACTION SURVEY
CURRENT LOCATION |
CURRENT TEXT |
REVISED TEXT |
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FEMA FORM 90-149 |
FEMA FORM 007-0-20 |
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KEY RATING QUESTION |
KEY RATING QUESTION |
Page 2 |
All right, (Applicant’s name), we’ll start with a very general question about the service you received from FEMA. |
All right, (Applicant’s name), we’ll start with a few very general questions. |
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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GPRA 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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NOTE: The GPRA 1 above is identical to the current question for comparability. Next, it will be broken down into two components as Q#1 and Q#2 to remove the “double barrel” aspect of the current question. |
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 ]?
Other (Put specific response in comments box) |
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New Question |
1. Now, how would you rate the effectiveness of the information you received from FEMA to help you recover? Would you say it was…
(DO NOT read) Don’t know / No opinion
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New Question |
(If “Not Very Effective” or “Not at All Effective”, go to Q.1a, otherwise skip to Q.2) 1a. In what way was the information [Not Very or Not at All Effective]?
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New Question |
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New Question |
(If “Below average” or “Poor”, go to Q.2a, otherwise skip to Q.3) 2a. In what way was the support [Below average / poor ]?
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New Question |
Thinking back to when the disaster first happened, and your expectations of what FEMA would be able to do for you… 3.Did FEMA Exceed, Meet or Fail to Meet your expectations?
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New Question |
(If Failed to Meet, go to Q3a.Otherwise, skip to Q4.) 3a. In what area did the agency fail to meet your expectations?
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New Question – OLD RI |
COMMUNICATIONS 4.When did you first hear that you could apply for FEMA disaster assistance?
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New Question |
Now, I’d like you to consider the many ways you may have become aware of FEMA disaster assistance. 4aWhat were your main sources of FEMA disaster assistance information? |
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New Question |
4a1. Radio/TV |
4a2. Newspaper |
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4a3. Flyers/Signs |
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4a4. Schools / Local Organizations |
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4a5. Disaster Workers |
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4a6. State or Local Government |
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4a7. Social media (Facebook, Twitter, etc.) |
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4a8. FEMA website or Internet |
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4a9. Voluntary Agencies (Red Cross etc.) |
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4a10. Insurance companies |
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4a11. Friends/Relatives/Neighbors |
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4a12. Other (Please specify) |
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New Question |
5.What would be the best way for FEMA to communicate with your community after a disaster? |
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New Question |
Friends/Relatives/Neighbors |
Radio/Television |
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Newspaper |
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Flyers/Signs |
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Schools/Local Organizations |
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Disaster Workers |
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State/Local Government |
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Social Media (Facebook, Twitter, etc.) |
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FEMA Website/Internet |
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Voluntary Agencies |
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Reverse 911 (phone autodialer) |
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Text Message |
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Other (Specify) |
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New Question |
5b. What suggestions do you have to improve FEMA’s communication? |
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New Question – OLD HL |
FIRST CALL RESOLUTION 6. After you registered, did you have a reason to call FEMA more than one time about the same topic?
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New Question – OLD HL |
If yes: continue to 6a, if “No” or “No, went on-line” or “Do not Remember”, go to Q.7 6a.What was the main topic you called about?
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New Question |
6b. About how many times did you call about the same topic?
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New Question |
6c. To what extent was your issue resolved to your satisfaction? Would you say it was….
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New Question |
(If “Partially”, “Not at All” or “Still Pending”, go to Q.6d, otherwise skip to Q.7) 6d. Why has your issue not been resolved?
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New Question |
STRATEGIC RESPONSE RATING 7.For this series of questions, please use a scale of Excellent, Good, Satisfactory, Below Average or Poor. Considering all your interactions with FEMA, how would you rate FEMA on…? |
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New Question |
7a. Providing a Timely Response? |
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New Question |
7b. Being Reliable? |
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New Question |
7c. Providing Caring Customer Service? |
Page 8, Q#7 Changed |
REPUTATION IN COMMUNITY Next, I’d like you to think about the image FEMA has in your community. 7.Based on what you’ve seen, read, and heard, as well as your personal opinion, how would you rate FEMA’s overall reputation in your community? Would you say it is
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8.Overall, how would you rate FEMA on building your trust and confidence? Would you say FEMA was
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Page 8, Q#7a Changed |
(If “Below average” or “Poor”, go to Q7a, otherwise skip to Q.8.) 7a. What do you think the reason would be?
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(If “Below average” or “Poor”, go to Q8a, otherwise skip to Q.9.) 8a. What do you think the reason would be?
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New Question |
9.What suggestions do you have to improve FEMA’s image? |
Page 4, Q#3 |
OTHER NEEDS ASSISTANCE PROGRAM This next series of questions refers to the “Other Needs Assistance Program” funded by the State of __________. This program may have assisted you with damages to your vehicle, clothing household items, with a generator or other uninsured expenses. 3. After the disaster, was this Program able to help you with any of the losses I just mentioned ?
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Page 4, Q#3a |
(If “No”, go to Q.3a, otherwise skip to Q.3b) 3a. Why not?
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Page 5, Q#3b Changed |
3b. Considering your losses, how would you rate the assistance you received from this Program to meet those needs? Would you say it was ….
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ONA FINANCIAL ASSISTANCE: These questions refer to your State’s Other Needs Assistance Program, which may help with damages to your personal property such as vehicle, clothing, household items, or other uninsured expenses. 10.How would you rate your State’s financial assistance you received for these personal property items to meet your disaster related needs? Would you say it was (Read List)
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Page 5, Q#3c Changed |
(If “Below average” or “Poor”, go to Q.3c, otherwise skip to Q.4) 3c. In what way was the assistance you received (Below Average / Poor)?
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(If Below Average or Poor go to 10a otherwise skip to 10b) 10a. What caused you to give that rating?
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Page 5, Q#4 Changed |
TIMELINESS OF ONA ASSISTANCE 4.From the time you applied until you actually received assistance from the Other Needs Program, how would you rate the length of time it took? Would you say it was….
(DO NOT read) Don’t know / No opinion |
10b. How would you rate this financial assistance in arriving within a reasonable amount of time?
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Page 5 Q#4a Changed |
(If “Below average” / “poor”, go to Q4a, otherwise skip to Q. 5.) 4a. Why do you feel the length of time to receive assistance was not appropriate?
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(If Below Average or Poor go to 10c otherwise skip to 11) 10c. What caused you to give that rating?
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Page 3, Q#2
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HOUSING ASSISTANCE PROGRAM. This next series of questions refers to FEMA’s Housing Assistance Program. 2.Following the disaster, was FEMA able to assist you with the repairs to your home or provide rental assistance?
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Page 3, Q#2a |
(If “No”, go to Q.2a, otherwise skip to Q.2b) 2a. Why was FEMA unable to provide assistance?
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Deleted |
Page 3, Q#2b Changed |
2b. Considering your losses, how would you rate the assistance you received from FEMA to meet your housing needs? Would you say it was…
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FINANCIAL ASSISTANCE – HA Eligible NOTE: HA Satisfaction (Q11) will use one of two different wordings of the question using the same data field for the answers. The difference is for when the state processes ONA or FEMA processes ONA. The ONA question will only be asked when state processed. 11.
OR
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Page 3, Q#2c Changed |
(If “Below average” or “Poor” go to Q.2c; if ONA skip to Q.3, otherwise skip to Q.4) 2c. How was the assistance you received Below Average / Poor)?
Other (Put specific response in comments box) |
(If Below Average or Poor continue to Q11a, otherwise 11b) 11a. What caused you to give that rating?
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Page 4 Q#2d Changed |
TIMELINESS OF HA ASSISTANCE 2d. From the time you applied for disaster assistance until you actually received assistance from FEMA, how would you rate the length of time it took? Would you say it was…
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11b. How would you rate FEMA’s financial assistance in arriving within a reasonable amount of time?
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Page 4 Q#2e Changed |
(If “Below average” / “poor”, go to Q4a, otherwise skip to Q. 5.) 2e. Why do you feel the length of time to was not appropriate?
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(If Below Average or Poor go to 11c, otherwise skip to 12.) 11c. What caused you to give that rating?
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Page 6, Q#5-5e |
INSPECTION SERIES |
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Page 7 Q#6 Changed |
LEVEL OF RECOVERY 6.And now I’d like to get your feelings about the level of recovery you’ve experienced since the disaster. 6. Would you say you have…………..
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LEVEL OF RECOVERY 12.And now I’d like to get your feelings about your level of recovery. As of today, would you say your recovery was
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New Question |
If “You are Less than Halfway” or “You have not begun to recover” , go to Q12a. 12a. What is the main reason for that? “[your level of recovery]”?
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Page 7, Q#6a No Change |
FEMA ROLE IN RECOVERY 6a. Thinking about FEMA’s role in your recovery, would you say FEMA’s been …
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FEMA ROLE IN RECOVERY 13.Thinking about FEMA’s role in your recovery, would you say FEMA has been …
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Page 7, Q#6b Changed |
(If “Not very helpful” / “Not at all helpful”, go to 5b, otherwise go to Q.6) 6b. Why do you feel that way?
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(If “Not very helpful” / “Not at all helpful”, go to 13a, otherwise go to Q.14) 13a. Why do you feel that way?
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Page 9, Q#8 Changed |
AMERICAN RED CROSS REFERRAL: only to be asked if the applicant was referred to the American Red Cross. 8. After you registered with FEMA, we may have advised you to contact the American Red Cross. Were you able to contact that agency? Yes No |
AMERICAN RED CROSS REFERRAL: only to be asked if the applicant was referred to the American Red Cross. 14.When you registered with FEMA, we may have advised you to contact the American Red Cross. Were you able to contact that agency?
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Page 9, Q#8a Changed |
(If “No”, go to Q.8a, otherwise skip to Q8b.) 8a. Why were you unable to contact the Red Cross?
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(If “No”, go to Q.14a, otherwise skip to Q.14b.) 14a. Why were you unable to contact the Red Cross?
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Page 9, Q#8b
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8b. How would you rate the overall assistance provided by the Red Cross? Would you say it was…
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14b. How would you rate the overall assistance provided by the Red Cross? Would you say it was..
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Page 9, Q#8c Changed |
(If “Below average” or “Poor”, go to Q.8c, otherwise skip to Q.9.) 8c. In what way was the assistance [below average or poor]?
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(If “Below average” or “Poor”, go to Q.14c, otherwise skip to Q.15.) 14c. In what way was the assistance [below average or poor]?
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Page 10, Q#9-9c |
FARM SERVICES ADMINISTRATION REFERRAL SERIES |
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Page 11, Q#10-10c |
DISASTER UNEMPLOYMENT REFERRAL SERIES |
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Page 12, Q#11 Changed |
INTERNAL REVENUE SERVICE REFERRAL only to be asked if the applicant was referred to the Internal Revenue. 11. After you registered with FEMA, we may have advised you to contact the Internal Revenue Service. Were you able to contact that agency? Yes No
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INTERNAL REVENUE SERVICE REFERRAL only to be asked if the applicant was referred to the Internal Revenue. 15.When you registered with FEMA, we may have advised you to contact the Internal Revenue Service for possible tax relief. Were you able to contact that agency?
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Page 12, Q#11a Changed |
(If “No”, go to Q.11a, otherwise skip to Q.11b.) 11a. Why not?
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(If “No”, go to Q.15a, otherwise skip to Q.15b.) 15a. Why were you unable to contact the Internal Revenue Service?
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Page 12, Q#11b |
11b. Was the Internal Revenue Service able to offer any assistance? Yes No Case is still pending |
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Page 12, Q#11c |
(If “No”, go to Q.11c, otherwise skip to Q.12.) 11c. Why was the Internal Revenue Service unable to assist you?
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Page 13, Q#12 Changed |
SMALL BUSINESS ADMIN REFERRAL: only to be asked if the applicant was referred to SBA. 12.After you registered with FEMA, we may have advised you to contact the Small Business Administration. This agency might have been able to assist you with a low interest rate loan. Were you able to contact that agency? Yes No |
SMALL BUSINESS ADMIN REFERRAL: only to be asked if the applicant was referred to SBA. 16.When you registered with FEMA, we may have referred you to the Small Business Administration for a low interest rate loan. Did you send in an application for this Disaster Assistance?
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Page 13, Q#12 Changed |
(If “No”, go to Q.12a, otherwise skip to Q.12b.) 12a. Why were you unable to contact the Small Business Administration?
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(If “No”, go to Q.16a, otherwise continue to Q.16b.) 16a. Why were you unable to return the application?
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Page 13, Q#12b |
12b. How would you rate the overall assistance provided by the Small Business Administration? Would you say it’s been…
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16b. How would you rate the overall assistance provided by the Small Business Administration? Would you say it’s been
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Page 13, Q#12c |
(If “Below average” or “Poor”, go to Q.12c, otherwise skip to Q.13.) 12c. In what way was the overall assistance [below average or poor]?
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(If “Below average” or “Poor”, go to Q.16c, otherwise skip to Q.17.) 16c. In what way was the overall assistance [below average or poor]?
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Page 14 Q#13-13c |
INSURANCE REFERRAL SERIES |
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Page 15, Q#14-14a |
LEVEL OF UNDERSTANDING OF INELIGIBLE |
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Page 15, Q#15 Changed |
SUGGESTIONS TO IMPROVE For this next question, FEMA’s interested in getting your opinion on what we could do to improve our service. 15. What suggestions would you like to pass on to FEMA? |
FINAL SUGGESTIONS 17.We are almost finished. FEMA values your opinions; what other suggestions do you have for improving FEMA? 17a1. Suggestion 1 17a2. Suggestion 1 Category 17b1. Suggestion 2 17b2. Suggestion 2 Category 17c3. Suggestion 3 17c3. Suggestion 3 Category |
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New Question |
CLOSING 18.May we call you at a future date to ask additional questions? Yes No |
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Well, thank you very much for your patience and cooperation in answering our questions. Have a good evening. |
Thank you very much for your patience and cooperation in answering our questions. Have a good evening.
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File Type | application/msword |
File Title | FF-####, TITLE |
Author | FEMA Employee |
Last Modified By | nbouchet |
File Modified | 2010-11-24 |
File Created | 2010-10-26 |