Various Demographic Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

omb1019ACSRosterenc4

Various Demographic Pretesting Activities

OMB: 0607-0725

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Attachment D

Questionnaire for User Interaction Satisfaction (QUIS)


Please circle the numbers that most appropriately reflect your impressions about using

the ACS Web survey.


1. Overall reaction to the Web Survey: terrible wonderful

1 2 3 4 5 6 7 8 9 not applicable


2. Screen Layouts: illogical logical

1 2 3 4 5 6 7 8 9 not applicable


3. Use of terminology throughout the survey: inconsistent consistent

1 2 3 4 5 6 7 8 9 not applicable


4. Instructions displayed on the screens: inadequate adequate

1 2 3 4 5 6 7 8 9 not applicable


5. Questions displayed on the screens: confusing clear

1 2 3 4 5 6 7 8 9 not applicable


6. Questions can be answered in a straight-

forward manner: never always

1 2 3 4 5 6 7 8 9 not applicable


7. Organization of question, instructions, confusing clear

and response categories in the survey: 1 2 3 4 5 6 7 8 9 not applicable



8. Forward navigation: difficult easy

1 2 3 4 5 6 7 8 9 not applicable



9. Overall experience of completing the survey: difficult easy

1 2 3 4 5 6 7 8 9 not applicable



10. Additional Comments:



File Typeapplication/msword
AuthorKathleen T. Ashenfelter
Last Modified Bydemai001
File Modified2010-06-10
File Created2010-06-10

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