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 Type | application/msword |
| Author | Kathleen T. Ashenfelter |
| Last Modified By | demai001 |
| File Modified | 2010-06-10 |
| File Created | 2010-06-10 |