265 FTC Comp Asst 265 FTC Complaint Assistant

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

FTC ComplaintAssistant questionnaire FINAL.xls

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Current Model Qsts
Current Custom Qsts
Types


Sheet 1: Current Model Qsts

Model Instance Name:




FTC ComplaintAssistant




MID: Existing Measure - Please fill in; New Measure - DOT will fill in



Date: 6/26/2009



Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Instructions for Completion 1=Poor, 10=Excellent, Don't Know)
Satisfaction (1=Poor, 10=Excellent)
Recommend (1=Not Very Likely, 10=Very Likely)
1 Please rate the simplicity of instructions for completing the ComplaintAssistant process.
23 What is your overall satisfaction with the ComplaintAssistant process? 26 How likely are you to recommend the FTC ComplaintAssistant process to someone else?
2 Please rate how well the instructions for completing the ComplaintAssistant process provide answers to your questions.
24 How well does th ComplaintAssistant process meet your expectations?

3 Please rate the clarity of instructions for completing the ComplaintAssistant process.
25 How does the ComplaintAssistant process compare to your idea of an ideal complaints process? 27

Look and Feel (1=Poor, 10=Excellent, Don't Know)



7 Please rate the visual appeal of the ComplaintAssistant process.



8 Please rate the balance of graphics and text throughout the ComplaintAssistant process.

9 Please rate the readability of the pages in the ComplaintAssistant process.

Navigation (1=Poor, 10=Excellent, Don't Know)
10 Please rate how well the ComplaintAssistant process is organized.
11 Please rate the options available for navigating the ComplaintAssistant process.



13 Please rate the number of clicks it takes to complete the ComplaintAssistant process.




Site Performance (1=Poor, 10=Excellent, Don't Know)



14 Please rate how quickly pages load in the ComplaintAssistant process.



15 Please rate the consistency of speed from page to page in the ComplaintAssistant process.



16 Please rate the ability to load pages without getting error messages in the ComplaintAssistant process.





Sheet 2: Current Custom Qsts

Model Instance Name:

red & strike-through: DELETE








FTC ComplaintAssistant

underlined & italicized: RE-ORDER








MID: Existing Measure - Please fill in; New Measure - DOT will fill in

pink: ADDITION








Date: 6/26/2009 blue + -->: REWORDING





















FTC ComplaintAssistant 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 25 character limit. Leave blank if you want DOT to fill this part out. CQ Label




: Type 5 OPS Were you aware of the FTC ComplaintAssistant before visiting the site today? Yes B Radio button, one-up vertical Single Y Skip Logic Group






No C










Not sure C








B If you were aware of the FTC ComplaintAssistant process, how many times have you used it in the past to register a complaint? 0
Radio button, one-up vertical Single Y Skip Logic Group





1










2










3 or more









C If you were not aware of the FTC ComplaintAssistant before today, how did you find us? FTC Website
Checkbox, one-up vertical Multi Y Skip Logic Group






FTC Publication











Search engine











Another website











Referral from another agency, please specify











Friend/family member











Contacted the FTC











Other, please specify









A Please let us know how you found us.

Text area, no char limit
N Skip Logic Group





Was the FTC ComplaintAssistant easy to use? Yes
Radio button, one-up vertical Single Y Skip Logic Group






No D










Not sure D








D If it was not easy to use, what did you find difficult? I did not understand which category I should have selected (i.e. automobile, internet, etc.).
Checkbox, one-up vertical Multi Y Skip Logic Group






I did not understand what I was supposed to do.











I was unable to submit my complaint.











Other, please specify A








A Please let us know what other difficulties you had.




Skip Logic Group





If you could make one improvement to the FTC ComplaintAssistant process, what would it be?

Text area, no char limit
N


















Sheet 3: Types

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 Typeapplication/vnd.ms-excel
File TitleQuestionnaire Production Guidelines_Template
AuthorProfessional Services
Last Modified Bykristen.mcmurphy
File Modified2009-07-20
File Created2001-08-03

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