306 CQs 306 CQs 3-2-10

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

306 Cust Ques 3-2-2010 to 3-28-2010.xls

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
Measures Name/Client name (CDs and Answer choices)
































FCG















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






KFB07695
Which of the following role best describes you? Federal employee A Radio button, one-up vertical Single Y
Best Describes Role








Government Contractor (Supplier)












Government Contractor (IT Support)












Government Contractor (Management Consultant)












Government Contractor (Coach)












Government Contractor (Call Center Staff)












Private Sector (Supplier)












Private Sector (IT Support)












Private Sector (Management Consultant)












Private Sector (Coach)












Private Sector (Call Center Staff)












Military (General/Admiral)












Military (Colonel/Captain/Lt. Colonel/Commander)












Military (Major/Commander)












Academic (instructor, professor, lecturer, researcher)












General public












Media












Other, please specify B









KFB07696 A If you are a Federal employee, what best describes your grade level? SES
Radio button, one-up vertical Single N
Best Describes_Grade








GS-14/15












GS-12/13












Other










KFB07697 B If you are not any of these roles listed above, what other role best describes you?

Text area, no char limit
N
Best Describes Role_Other






KFB07698
What is your primary reason for visiting this site today? To learn more about FCG
Radio button, one-up vertical Single Y
Primary Reason








To look for Consulting Services












To look for Coaching Services












To register for seminars












To get contact information












To register for Communities of practice












To look for ACSI information/ services












To browse/ see what's new












Other, please specify A









KFB07699 A Please specify the other reason you are visiting the site:

Text area, no char limit


Primary Reason_Other






KFB07700
How frequently do you visit this site? First time
Radio button, one-up vertical Single Y
Frequency








More than once a day












Daily












About once a week












About once a month












Every 6 months or less










KFB07701
Which parts of the site are you primarily visiting today? What we do part of site
Checkbox, one-up vertical Multi N
Parts of Site Visiting








Who we are part of site












The 'Resources' part of the site












The 'News' (events, seminars) part of the site












FAQ page












ACSI Results












Consulting Services












Coaching Services












Other










KFB07702
Did you find the information that you were looking for today? Yes
Radio button, one-up vertical Single Y
Find Information








No. Please specify what you were looking for: A











Still looking










KFB07703 A Other information you could not find:

Text area, no char limit
N
Find Information_Other






KFB07704
How did you find out about this site? External Search Engine (Google, Yahoo etc)
Radio button, one-up vertical Single Y
Find Out About Site








USA.gov or USA.gov Search












Email/ email newsletters












Federal agency colleague












Publications












Conference












FCG Seminars and/or workshops












Print Ad












Other










KFB07705
Are you a current FCG customer? Yes
Radio button, one-up vertical Single Y
Current Customer








No












Plan to become a customer in the future












Do not plan to become a customer in the future










KFB07706
What improvements and/or additional information would you like to see on this site?

Text area, no char limit
N
Improvements and Information






KFB07707
How did you primarily look for information on the site today? Top navigation bar
Radio button, one-up vertical Single Y
Look For Info








Left-hand side navigation bar














Links within page text














Site map














Search box












KFB07708
Please describe your site experience today. I had no problem browsing through the site
Radio button, one-up vertical Single Y
Site Experience









I found the general area but could not find specific information















Links did not take me to what I was looking for















Too many links or navigational choices















I found links that did not work















Other A











KFB07709 A Please describe any other experience you had:

Text area, no char limit
n
Site Experience_Other






KFB07710
How would you rate your familiarity with social media on the web?
Flickr
View and contribute often
Drop down, select one Single y Multiple Lists Group SM_Familiar








View often and contribute occasionally














View often but don’t contribute














View and contribute occasionally














View occasionally but don’t contribute














No familiarity












KFB07711
Facebook View and contribute often
Drop down, select one Single y Multiple Lists Group SM_Facebook









View often and contribute occasionally















View often but don’t contribute















View and contribute occasionally















View occasionally but don’t contribute















No familiarity












KFB07712
YouTube View and contribute often
Drop down, select one Single y Multiple Lists Group SM_YouTube









View often and contribute occasionally















View often but don’t contribute















View and contribute occasionally















View occasionally but don’t contribute















No familiarity












KFB07713
Twitter View and contribute often
Drop down, select one Single y Multiple Lists Group SM_Twitter









View often and contribute occasionally















View often but don’t contribute















View and contribute occasionally















View occasionally but don’t contribute















No familiarity































































IRS Sat Survey
































CWS03941 B What specific search term(s) did you use to find information on our site?

Open-ended
Y










































VA My HealtheVet

















Have you ever printed out any information from My HealtheVet? Yes A Radio button, one-up vertical Single Y











No













A I have printed the following from My HealtheVet: (Check all that apply) My medication list
Checkbox, one-up vertical Multi Y











Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)















Information I entered in my Food or Activity Journals















My health calendar















Wellness Reminders















Information about health (such as an article or information from the medical library)















Information about VA benefits















Other, please specify B












B What other information have you printed?

Text area, no char limit
N










Have you ever saved any information from My HealtheVet to your computer? Yes A Radio button, one-up vertical Singly Y











No













A I have saved the following from My HealtheVet to my computer: (Check all that apply) My medication list
Checkbox, one-up vertical Multi Y











Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)















Information I entered in my Food or Activity Journals















My health calendar















Wellness Reminders















Information about health (such as an article or information from the medical library)















Information about VA benefits















Other, please specify B












B What other information have you saved to your computer?















Have you ever sent information from My HealtheVet to another person? Yes A Radio button, one-up vertical Single Y











No













A I have sent the following information from My HealtheVet to another person: (Check all that apply) My medication list
Checkbox, one-up vertical Multi Y











Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)















Information I entered in my Food or Activity Journals















My health calendar















Wellness Reminders















Information about health (such as an article or information from the medical library)















Information about VA benefits















Other, please specify B












B What other information did you send to another person?

Text area, no char limit












Would you save information from your Personal Health Record to some place outside of My HealtheVet If you could? Yes A Radio button, one-up vertical Single Y











No















Not sure A














I would not find this useful













A I would: (check all that apply): Save the information to another place (for example, by copying to a file on my computer)
Checkbox, one-up vertical Multi Y











Give the electronic information to my non-VA provider















Share the information with a family member or friend















Put the information into another Personal Health Record















Use the information with another program (for example, to check for drug interactions)















Put the information in another website (for example, to receive customized care recommendations or to use other kinds of tools)















Other, please specify B












B Where else would you like to save information?















































U.S. Department of State/ Travel.State Satisfaction Survey v2































Do you visit this site to learn about major events or crises abroad?” Yes B Radio Button One Up Vertical Single Y











No













B What is the best way for us to provide this type of information?

Text area, no char limit
N

























Embassy Enterprise IIP
















B What were you looking for?






























Holocaust Memorial Museum


































Country of Residence Afghanistan
Drop down, select one Single Y OPS Group










Albania















Algeria















Argentina















Australia















Austria















Azerbaijan















Bahrain















Bangladesh















Belarus















Belgium















Belize















Benin















Bolivia















Bosnia/Herzegovina















Brazil















Brunei Darussalam















Bulgaria















Burkina Faso















Cameroon















Canada















Chad















Chile















China















Colombia















Comoros















Costa Rica















Côte D'Ivoire















Croatia















Cuba















Czech Republic















Denmark















Djibouti















Dominican Republic















Ecuador















Egypt















El Salvador















Equatorial Guinea















Estonia















Finland















France















Gabon















Gambia















Georgia















Germany















Greece















Guatemala















Guinea















Guinea& Bissau















Guyana















Holy See/Vatican















Honduras















Hong Kong















Hungary















Iceland















India















Indonesia















Iran















Iraq















Ireland















Israel















Italy















Japan















Jordan















Kazakstan















Korea, South















Kuwait















Kyrgyzstan















Latvia















Lebanon















Libya















Lithuania















Luxembourg















Malaysia















Maldives















Mali















Mauritania















Mauritius















Mexico















Moldova















Morocco















Mozambique















Netherlands















New Zealand















Nicaragua















Niger















Nigeria















Norway















Oman















Pakistan















Palestinian Territory















Panama















Paraguay















Peru















Philippines















Poland















Portugal















Puerto Rico















Qatar















Romania















Russian Federation















Rwanda















Saudi Arabia















Senegal















Sierra Leone















Singapore















Slovakia















Slovenia















South Africa















Spain















Sudan















Suriname















Sweden















Switzerland















Syria















Taiwan















Tajikistan















Thailand















Togo















Tunisia















Turkey















Turkmenistan















Ukraine















United Arab Emirates















United Kingdom















Uruguay















USA















Uzbekistan















Venezuela















Viet Nam















Western Sahara















Yemen















Yugoslavia















Other, (please specify) A












A Other (please specify): country of residence

Text field, <100 char
N OPS Group
























MEDC Michigan Advantage


































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 Multi N OPS Group SM_Preferred








In social networks















In virtual worlds















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 video















Adding a widget or gadget to my personalized page















Following a microblog















Other (please specify) A












A Other social media interaction

Text field, <100 char Single N OPS Group OE_Preferred SM








Which of the following MichiganAdvantage features/services have you interacted with? The MichiganAdvantage Facebook page
Checkbox, one-up vertical Multi N
SM Interaction








The Michigan Upper Hand YouTube videos















The Michigan Economic Development Corporation presence or MEDC staff on LinkedIn















MIAdvantage on Twitter















MichiganAdvantage RSS feeds















The Michigan Upper Hand blog















MichiganAdvantage photos on Flickr















None of the above A




























NWHIC


































How would you rate your familiarity with the following?


S Y Matrix Group









Facebook View and contribute often
Drop down, select one S Y Matrix Group Facebook Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














Twitter View and contribute often
Drop down, select one S Y Matrix Group Twitter Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














Flickr View and contribute often
Drop down, select one S Y Matrix Group Flckr Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














MySpace View and contribute often
Drop down, select one S Y Matrix Group MySpace Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














YouTube View and contribute often
Drop down, select one S Y Matrix Group YouTube Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














Del.icio.us View and contribute often
Drop down, select one S Y Matrix Group Del.icio.us Familiarity









View often and contribute occasionally















View often but don't contribute















View and contribute occasionally















View occasionally but don't contribute















No familiarity














How would you most like to interact with this site? (Please select all that apply) Bookmark or tag pages
Checkbox, one-up vertical M Y OPS Group Interaction Preference









In social networks















In virtual worlds















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















None















Other (please specify) A












A Other form of interacting

Text area, no char limit open N
Other Form of Interacting























FDA Browse

















Would you like to see content on the FDA site translated into another language? Yes A Radio button, one-up vertical Single Y Skip Logic Group Site Translated









No















Don't Know













A In which of the following languages would you like to view content on the FDA site? Spanish
Checkbox One Up Vertical Single N Skip Logic Group Language









French















Chinese















German















Japanese















Korean















Other (please specify) B












B Other languages you would like to view content on the FDA site:

Text area, no char limit Single N Skip Logic Group Other Language























FBI satisfaction survey
































EDO01220 A What specific crime statistics information were you looking for?

Text field, <100 char Single N Skip Logic







EDO01221
Did you use the search feature today? Yes C Drop down, select one Single Y Skip Logic Search









No












EDO01222 C Please describe your search experience I had no difficulty using the search feature on this site
Drop down, select one Single N Skip Logic










The search feature was difficult to find















The search feature was difficult to use















Returned no results/received an error message















Could not tell where the search results would take me















Too many results















Too few results















Results were not related to what I was looking for















Could not sort the results















Could not refine the results















Other B











EDO01223 B Other: Search Experience

Text field, <100 char Single N Skip Logic







File Typeapplication/vnd.ms-excel
Authorsilvina diaz
Last Modified Bysgrow
File Modified2010-03-29
File Created2009-11-17

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