432 FEMA Readygov_ 432 FEMA Readygov_Template_4.13.11

Customer Satisfaction Measure of Government Websites

2011 432 FEMA Readygov_Template_4.13.11.xls

431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
Model Instance Name: FEMA ReadyGov

red & strike-through: DELETE














underlined & italicized: RE-ORDER











MID: A8loVYAp1BsIwlkMFx5R8g==

pink: ADDITION











Date: 4/13/2011 blue + -->: REWORDING



























CUSTOM QUESTION LIST





QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label





EDO11022
After visiting this site I feel more prepared for a disaster. (1=Strongly Disagree, 10=Strongly Agree) 1-Strongly Disagree
Radio button, scale, has don't know Single Y
More Prepared for Disaster








2














3














4














5














6














7














8














9














10-Strongly Agree














DK











EDO11023
How did you hear about the site? (Please select all that apply) TV Advertising
Radio button, one-up vertical Single Y Skip Logic Group Heard About








Print Advertising














Outdoor Advertising



Randomize









Radio Advertising














Advertising on Social Networks (Facebook, Twiiter)














Internet Advertising














Other, please specify: A










EDO11024 A What other sources brought you to the site?

Text area, no char limit S N Skip Logic Group Other Heard About Source





EDO11025
What media would be effective to notify others during a disaster? (select all that apply) Cell Phone
Checkbox, one-up vertical M Y Skip Logic Group Media to Notify Others








Email



Randomize









Social Networking Sites (facebook)














Other, please specify: A










EDO11026 A What other media would be effective to inform others about a disaster?

Text area, no char limit S N Skip Logic Group Other Effective Media to Notify Others





EDO11027
What media do you currently use to respond to or notify others of disasters? (select all that apply) Cell Phone
Checkbox, one-up vertical M Y Skip Logic Group Means Currently Use to Notify Others








Email



Randomize









Social Networking Sites (facebook)














Other, please specify A










EDO11028 A What other media would be effective to inform others about preparedness information?

Text area, no char limit S N Skip Logic Group Other Means to Notify Others





EDO11029
What best describes your role when coming to this site? Parent
Radio button, one-up vertical S Y
Role








Home (Property) Owner



Skip Logic Group









First Responder














Emergency Managers and Personnel














Private Sector (business, small business, contractor, vendor)














Government official or employee














Media














Student or educator














Other, please specify A










EDO11030 A If you answered "other" above, please specify other role.

Text area, no char limit S N Skip Logic Group Other Role





EDO11031
What was your primary reason for visiting Ready.gov today? Get an emergency supply kit
Radio button, one-up vertical S Y Skip Logic Group Reason for Visit








Make a family emergency plan














Learn more about the potential emergencies that could happen where I live and the appropriate way to respond to them.





Randomize









Learn about which disasters are likely to happen in my area














Prepare employees for an emergency














Just browsing/not looking for anything in particular














Other (please specify) A










EDO11032 A If you answered "other" above, please specify other reason for visit.

Text area, no char limit S N Skip Logic Group Other Reason for Visit





EDO11033
Did you find the information you were looking for? Yes
Radio button, one-up vertical S Y Skip Logic Group Found Information








Partially














Still looking














No (please specify what you were looking for) A










EDO11034 A Please specify what you were looking for.

Text area, no char limit S N Skip Logic Group Information Seeking





EDO11035
How would you most like to interact with this site? (Please select all that apply) Bookmark or tag pages (i.e. Digg or Del.icio.us)
Checkbox, one-up vertical M Y Randomize How Interact with Site







In social networks














By adding comments, ratings, or reviews














Reading blogs














Contributing to wikis














Receiving newsletters/email updates














Subscribing to RSS feeds














Listening to Podcasts or audio














Watching Vodcasts or video














Adding a widget or gadget to my personalized page














Following a microblog














Other (please specify) A










EDO11036 A If you answered "other" above, please specify other social media interaction

Text area, no char limit S N Skip Logic Group Other social media interaction





EDO11037
If you can make one improvement to this site, what would it be?

Text area, no char limit S N
Improvements





EDO11038
Please select your gender: Male
Radio button, one-up vertical S N
Gender








Female











EDO11039
Please select your age group: Under 21 Years Old
Checkbox, one-up vertical S N
Age








21-30 Years Old














31-40 Years Old














41-50 Years Old














51-60 Years Old














61-70 Years Old














Over 70 Years Old











File Typeapplication/vnd.ms-excel
File TitleQuestionnaire Production Guidelines_Template
AuthorProfessional Services
Last Modified Byedwin.oslan
File Modified2011-04-21
File Created2001-08-03

© 2024 OMB.report | Privacy Policy