421 DHHS PSC 421 DHHS PSC Offline

Model Instance Name:

red & strike-through: DELETE

DHHS-PSC Offline Services

underlined & italicized: RE-ORDER

MID: Y08Qs0RgclgRMgEQ8BBdxQ==

pink: ADDITION

Date:

2/16/2011

blue + -->: REWORDING

violet (bold): SKIP-LOGIC

DHHS-PSC Offline Services CUSTOM QUESTION LIST

QID

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Question Text

Answer Choices (limited to 50 characters)

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Type (select from list)

Single or Multi

Required Y/N

Special Instructions

SAC1401

Please select the product or service for which you would like to provide feedback today.

Asset Management

Drop down, select one

Single

Y

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Background Investigations

Building Management

CASU KC Contract Staffing (CASU)

Commissioned Corps Systems Branch (CCSS)

Compensation and Retirement Branch (CCSS)

Medical Affairs Branch (CCSS)

Conference Services

Denver Acquisition Support (CASU)

Denver Contract Staffing (CASU)

Denver Copier Program (CASU)

Denver EEO (CASU)

Denver Imaging (CASU)

Denver Labor & Moving (CASU)

Denver Mail Service (CASU)

Denver Multi Media (CASU)

Denver Property (CASU)

KC Copier Management Service (CASU)

KC Mail Services (CASU)

KC Procurement Services (CASU)

New York Admin Staffing (CASU)

New York Copier (CASU)

New York Mail Room (CASU)

New York Paper & Toner(CASU)

Departmental Forms Management

Digital Finger Printing

Employee Child Care Services

General Storage

Graphic Arts

HHS Hotline

HHS Travel Office

Labor Services

Mail Operations

National Disaster Medical System (NDMS)

ORR/DUCS

OSEO Copier Program

Payroll Services

Personal ID Card Issuance & HSPD-12 Services

Physical Security

Printing Procurement

Product Distribution

Property Disposal

Real Property Management

Regional Support

Security Consultation & Assessments

Shredding Services

Space Acquisition and Alterations

Transhare

Transportation

Other (please specify)

C

SAC1402

C

Which product or service will you provide feedback about today?

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SAC1394

Please specify in which month you received service.

January

Radio button, one-up vertical

Single

Y

February

March

April

May

June

July

August

September

October

November

December

Not sure/NA

SAC1395

How often do you transact with this organization or division?

This is my first experience with this organization.

Radio button, one-up vertical

Single

Y

Once a year or less

A few times per year

About once a month

A few times per month

About once a week

A few times per week

Daily or more often

Not sure/NA

SAC1396

If you could make one improvement in the ordering experience with this organization, what would it be?

Text area, no char limit

N

SAC1397

If we may contact you regarding your experience with this product or service, please provide your email address.

Text area, no char limit

N

SAC1398

Have you ever visited PSC's website?

Yes

A

Radio button, one-up vertical

Single

Y

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No

Not sure

SAC1399

A

What was your reason for visiting the website? (check all that apply)

Learn about a specific product or service

Checkbox, one-up vertical

Multi

N

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Browse available products or services

Download catalogues or publications

Download forms

Find contact information

Other (please specify)

B

SAC1400

B

Please specify your primary reason for visiting PSC's website.

Text area, no char limit

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