Model Instance Name: FEMA Mobile Site Pilot | |||||
MID: | lk4dp8E00FN1FQIJQUsMwA== | ||||
Date: | 2/9/2011 | ||||
\ | |||||
Model questions utilize the ACSI methodology to determine scores and impacts | |||||
ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||
Look and Feel (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | |||
1 | Please rate the visual appeal of this mobile site. | 5 | What is your overall satisfaction with this mobile site? (1=Not At All Satisfied, 10=Extremely Satisfied) |
8 | How likely are you to return to this mobile site? |
2 | Please rate the readability of the pages on this mobile site. | 6 | How well does this mobile site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |
Navigation (1=Poor, 10=Excellent, Don't Know) | 7 | How does this site compare to your idea of an ideal mobile website? (1=Not Very Close, 10=Very Close) |
How likely are you to recommend this mobile site to someone else? | ||
3 | Please rate how well the mobile site is organized. | ||||
4 | Please rate the options available for navigating this mobile site. | ||||
Content (1=Poor, 10=Excellent, Don't Know) | |||||
Please rate the accuracy of information on this mobile site. | |||||
Please rate the quality of information on this mobile site. |
Model Instance Name: FEMA Mobile Site Pilot | ||||||||||
underlined & italicized: RE-ORDER | ||||||||||
MID: lk4dp8E00FN1FQIJQUsMwA== | pink: ADDITION | |||||||||
Date: | 3/5/2010 | blue + -->: REWORDING | ||||||||
CUSTOM QUESTION LIST | ||||||||||
QID (Group ID) |
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 | |
CWS06679 | What is your primary reason for visiting FEMA’s mobile site? | Apply for assistance | Radio button, one-up vertical | S | Y | OPS Group | Reason for Visit | |||
Check the status of an application | ||||||||||
Learn more about available assistance | ||||||||||
Find information on a current or recent disaster | Randomize | |||||||||
Find training information | ||||||||||
Find preparedness information | ||||||||||
Find employment or contracting opportunities and information | ||||||||||
Find grant information | ||||||||||
Find a form or publication | ||||||||||
Other , please specify: | ||||||||||
CWS06680 | Other reason for visit | Text field, <100 char | N | Other Reason for Visit | ||||||
CWS06681 | Were you able to accomplish your primary task? | Yes | Radio button, one-up vertical | Single | Y | Ability To Find | ||||
No | ||||||||||
Partially | ||||||||||
CWS06682 | Which of the following options best represents you? | Disaster Survivor | Radio button, one-up vertical | Single | Y | OPS Group | Role | |||
Home (Property) Owner / Renter | ||||||||||
First Responder | ||||||||||
Emergency Managers and Personnel | ||||||||||
Private Sector (business, small business, contractor, vendor) | ||||||||||
Government Official (Executive or Legislative) | ||||||||||
Building Science Professional | ||||||||||
Media | ||||||||||
Student or Educator | ||||||||||
Job seeker | ||||||||||
Other, please specify | ||||||||||
CWS06683 | Other role | Text field, <100 char | N | Other Role | ||||||
CWS06684 | Which of the following pieces of information would you personally use on the FEMA mobile site? (select all that apply) | Putting together an emergency kit | Checkbox, one-up vertical | Multi | Y | OPS Group | Age | |||
How to protect yourself with flood insurance | Randomize | |||||||||
How to stay informed if an emergency occurs | ||||||||||
How to receive emergency alerts from your local government | ||||||||||
Information on planning for an emergency | ||||||||||
Provide zip code to get real time information like weather warnings, disaster shelters, and other resources available in your area | ||||||||||
Other (open ended) | ||||||||||
CWS06685 | Other information | Text field, <100 char | N | Other Information | ||||||
CWS06686 | If FEMA offered the following products, which would you be likely to use? (select all that apply) | FEMA's Smartphone (mobile) application | Checkbox, one-up vertical | Multi | N | Product Interest | ||||
FEMA's text messaging updates on disasters/warnings/resources | ||||||||||
I am not interested in these products | ||||||||||
I do not have a mobile device that supports applications. | ||||||||||
CWS06687 | Please provide suggestions for how FEMA can improve their mobile site. | Text area, no char limit | Single | N | Improvements |
Types | Instructions | |
Text field, <100 char | Randomize | |
Text area, no char limit | Shared | |
Drop down, select one | OPS Group | |
Radio button, one-up vertical | Matrix Group | |
Radio button, two-up vertical | Rank Group | |
Radio button, three-up vertical | Comparative Matrix Group | |
Radio button, scale, has don't know | Skip Logic Group | |
Radio button, scale, no don't know | Multiple Lists Group | |
Checkbox, one-up vertical | Partitioned | |
Checkbox, two-up vertical | ||
Checkbox, three-up vertical |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |