668 2013 668 Exchanges v2 Questionnaire
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2013 668 Exchanges v2 Questionnaire 9-14-2012.xlsx
2013 659 FDA Mobile - 2013 686 VA Medical Centers
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download: xlsx | pdf
Current Custom Qsts
Overview
Current Model QstsCurrent Custom Qsts
Sheet 1: Current Model Qsts
| Model Instance Name: | |||||
| Dept of State Exchanges v2 | |||||
| MID: | hQxB0IsMdt4w9NRVAYIk5A== | ||||
| Date: | 9/9/2009 | ||||
| Dept of State Exchanges v2 MODEL QUESTION LIST | |||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||
| Content (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Likelihood to Return (1=Very Unlikely, 10=Very Likely) | |||
| 1 | Please rate the accuracy of information on this site. | 24 | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
27 | How likely are you to return to this site? |
| 2 | Please rate the quality of information on this site. | 25 | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |
| 3 | Please rate the freshness of content on this site. | 26 | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
28 | How likely are you to recommend this site to someone else? |
| Functionality (1=Poor, 10=Excellent, Don't Know) | Primary Resource (1=Very Unlikely, 10=Very Likely) | ||||
| 4 | Please rate the usefulness of the features provided on this site. | 29 | How likely are you to use this site as your primary resource for finding about and engaging in opportunities for international exchange? | ||
| 5 | Please rate the convenience of the features on this site. | Trust (1=Strongly Disagree, 10=Strongly Agree) | |||
| 6 | Please rate the variety of features on this site. | 30 | I can count on this Bureau to act in my best interests. | ||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | 31 | I consider this Bureau to be trustworthy. | |||
| 7 | Please rate the visual appeal of this site. | 32 | This Bureau can be trusted to do what is right. | ||
| 8 | Please rate the balance of graphics and text on this site. | ||||
| 9 | Please rate the readability of the pages on this site. | 
|
|||
| Navigation (1=Poor, 10=Excellent, Don't Know) | |||||
| 10 | Please rate the number of clicks to get where you want on this site. | ||||
| 11 | Please rate how well the site layout helps you find what you are looking for. | ||||
| 12 | Please rate how well the site is organized. | ||||
| 13 | Please rate the options available for navigating this site. | ||||
| Search (1=Poor, 10=Excellent, Don't Know) | |||||
| 14 | Please rate the relevance of search results on this site. | ||||
| 15 | Please rate how well the search results help you decide what to select. | ||||
| 16 | Please rate the organization of search results on this site. | ||||
| 17 | Please rate how well the search feature helps you to narrow the results to find what you want. | ||||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | |||||
| 18 | Please rate how quickly pages load on this site. | ||||
| 19 | Please rate the consistency of speed from page to page on this site. | ||||
| 20 | Please rate the ability to load pages without getting error messages on this site. | ||||
| Online Transparency (1=Poor, 10=Excellent, Don't Know) | |||||
| 21 | Please rate how thoroughly this website discloses information about what this Bureau is doing. | ||||
| 22 | Please rate how quickly Bureau information is made available on this website. | ||||
| 23 | Please rate how well information about this Bureau's actions can be accessed by the public on this website. | ||||
Sheet 2: Current Custom Qsts
| Model Instance Name: | |||||||||
| Dept of State Exchanges v2 | underlined & italicized: RE-ORDER | ||||||||
| MID: | hQxB0IsMdt4w9NRVAYIk5A== | pink: ADDITION | |||||||
| Date: | 9/14/2012 | blue + -->: REWORDING | |||||||
| Dept of State Exchanges v2 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 | Label |
| KFB05542 | How frequently do you visit this site? | This is my first time | Drop down, select one | Single | Y | Visit Frequency | |||
| Daily | |||||||||
| More than once a day | |||||||||
| Weekly | |||||||||
| Monthly | |||||||||
| Every six months or less | |||||||||
| Annually | |||||||||
| KFB05543 | Where are you from? | United States of America | Drop down, select one | Single | Y | Location | |||
| Afghanistan | |||||||||
| Albania | |||||||||
| Algeria | |||||||||
| Andorra | |||||||||
| Angola | |||||||||
| Anguilla | |||||||||
| Antigua and Barbuda | |||||||||
| Argentina | |||||||||
| Armenia | |||||||||
| Australia | |||||||||
| Austria | |||||||||
| Azerbaijan | |||||||||
| Bahamas, The | |||||||||
| Bahrain | |||||||||
| Bangladesh | |||||||||
| Barbados | |||||||||
| Belarus | |||||||||
| Belgium | |||||||||
| Belize | |||||||||
| Benin | |||||||||
| Bermuda | |||||||||
| Bhutan | |||||||||
| Bolivia | |||||||||
| Bosnia and Herzegovina | |||||||||
| Botswana | |||||||||
| Brazil | |||||||||
| Brunei | |||||||||
| Bulgaria | |||||||||
| Burkina Faso | |||||||||
| Burma | |||||||||
| Burundi | |||||||||
| Cambodia | |||||||||
| Cameroon | |||||||||
| Canada | |||||||||
| Cape Verde | |||||||||
| Central African Republic | |||||||||
| Chad | |||||||||
| Chile | |||||||||
| China | |||||||||
| Colombia | |||||||||
| Cook Islands | |||||||||
| Costa Rica | |||||||||
| Côte d'Ivoire | |||||||||
| Croatia | |||||||||
| Cuba | |||||||||
| Cyprus | |||||||||
| Czech Republic | |||||||||
| Democratic Republic of the Congo | |||||||||
| Denmark | |||||||||
| Djibouti | |||||||||
| Dominica | |||||||||
| Dominican Republic | |||||||||
| Timor Leste | |||||||||
| Ecuador | |||||||||
| Egypt | |||||||||
| El Salvador | |||||||||
| Equatorial Guinea | |||||||||
| Eritrea | |||||||||
| Estonia | |||||||||
| Ethiopia | |||||||||
| Fiji | |||||||||
| Finland | |||||||||
| France | |||||||||
| Gabon | |||||||||
| Gambia, The | |||||||||
| Gaza | |||||||||
| Georgia | |||||||||
| Germany | |||||||||
| Ghana | |||||||||
| Greece | |||||||||
| Grenada | |||||||||
| Guatemala | |||||||||
| Guinea | |||||||||
| Guinea-Bissau | |||||||||
| Guyana | |||||||||
| Haiti | |||||||||
| Holy See | |||||||||
| Honduras | |||||||||
| Hong Kong | |||||||||
| Hungary | |||||||||
| Iceland | |||||||||
| India | |||||||||
| Indonesia | |||||||||
| Iran | |||||||||
| Iraq | |||||||||
| Ireland | |||||||||
| Israel | |||||||||
| Italy | |||||||||
| Jamaica | |||||||||
| Japan | |||||||||
| Jordan | |||||||||
| Kazakhstan | |||||||||
| Kenya | |||||||||
| Kiribati | |||||||||
| Korea, North | |||||||||
| Korea, South | |||||||||
| Kosovo | |||||||||
| Kuwait | |||||||||
| Kyrgyzstan | |||||||||
| Laos | |||||||||
| Latvia | |||||||||
| Lebanon | |||||||||
| Lesotho | |||||||||
| Liberia | |||||||||
| Libya | |||||||||
| Liechtenstein | |||||||||
| Lithuania | |||||||||
| Luxembourg | |||||||||
| Macau | |||||||||
| Macedonia | |||||||||
| Madagascar | |||||||||
| Malawi | |||||||||
| Malaysia | |||||||||
| Maldives | |||||||||
| Mali | |||||||||
| Malta | |||||||||
| Marshall Islands | |||||||||
| Mauritania | |||||||||
| Mauritius | |||||||||
| Mexico | |||||||||
| Micronesia | |||||||||
| Moldova | |||||||||
| Monaco | |||||||||
| Mongolia | |||||||||
| Montenegro | |||||||||
| Morocco | |||||||||
| Mozambique | |||||||||
| Namibia | |||||||||
| Nauru | |||||||||
| Nepal | |||||||||
| Netherlands | |||||||||
| Netherlands Antilles | |||||||||
| New Zealand | |||||||||
| Nicaragua | |||||||||
| Niger | |||||||||
| Nigeria | |||||||||
| Norway | |||||||||
| Oman | |||||||||
| Pakistan | |||||||||
| Palau | |||||||||
| Panama | |||||||||
| Papua New Guinea | |||||||||
| Paraguay | |||||||||
| Peru | |||||||||
| Philippines | |||||||||
| Poland | |||||||||
| Portugal | |||||||||
| Qatar | |||||||||
| Romania | |||||||||
| Russia | |||||||||
| Rwanda | |||||||||
| Samoa | |||||||||
| San Marino | |||||||||
| Sao Tome and Principe | |||||||||
| Saudi Arabia | |||||||||
| Senegal | |||||||||
| Serbia | |||||||||
| Seychelles | |||||||||
| Sierra Leone | |||||||||
| Singapore | |||||||||
| Slovakia | |||||||||
| Slovenia | |||||||||
| Solomon Islands | |||||||||
| Somalia | |||||||||
| South Africa | |||||||||
| Spain | |||||||||
| Sri Lanka | |||||||||
| St. Kitts and Nevis | |||||||||
| St. Lucia | |||||||||
| St. Vincent and the Grenadines | |||||||||
| Sudan | |||||||||
| Suriname | |||||||||
| Swaziland | |||||||||
| Sweden | |||||||||
| Switzerland | |||||||||
| Syria | |||||||||
| Taiwan | |||||||||
| Tajikistan | |||||||||
| Tanzania | |||||||||
| Thailand | |||||||||
| Togo | |||||||||
| Tonga | |||||||||
| Trinidad and Tobago | |||||||||
| Tunisia | |||||||||
| Turkey | |||||||||
| Turkmenistan | |||||||||
| Tuvalu | |||||||||
| Uganda | |||||||||
| Ukraine | |||||||||
| United Arab Emirates | |||||||||
| United Kingdom | |||||||||
| Uruguay | |||||||||
| Uzbekistan | |||||||||
| Vanuatu | |||||||||
| Venezuela | |||||||||
| Vietnam | |||||||||
| Wales | |||||||||
| West Bank | |||||||||
| Yemen | |||||||||
| Zambia | |||||||||
| Zimbabwe | |||||||||
| KFB05544 | Which best describes you? | Radio button, one-up vertical | Single | Y | Skip Logic Group | Best Describes | |||
| Government Exchange Program | |||||||||
| Current exchange program participant | |||||||||
| Student seeking information on exchange programs | |||||||||
| Scholar/ Researcher/ Academic | |||||||||
| Teacher/ Instructor / lecturer/Professor | |||||||||
| Host of exchange program participant | |||||||||
| Family interested in hosting exchange student | |||||||||
| Department of State/program Employee | |||||||||
| United States Government Employee | |||||||||
| Congressional Staff Member | |||||||||
| Foreign Government Employee | |||||||||
| Other (please specify) | A | ||||||||
| KFB05545 | A | Please tell us what best describes you. | Text area, no char limit | Single | N | Other best describes | |||
| KFB05546 | What source brought you to this site? | Search engine (Google, Yahoo, MSN, etc.) | Drop down, select one | Single | Y | Skip Logic Group | Source | ||
| College/University website | |||||||||
| Other U.S. Department of State web site | |||||||||
| Other U.S. Government web site | |||||||||
| Printed materials | |||||||||
| Media/news story | |||||||||
| Program agency website | |||||||||
| U.S. Embassy website | |||||||||
| Alumni website or online group | |||||||||
| Fulbright commission website | |||||||||
| Exchange program adviser/administrator | |||||||||
| Educational advising site | |||||||||
| Binational center | |||||||||
| Social network (Facebook, Twitter, etc.) | |||||||||
| Other (please specify) | B | ||||||||
| KFB05547 | Z | Please tell us what other source brought you to this site. | Text field, <100 char | Single | N | Other Source | |||
| KFB05548 | What is your primary reason for visiting this site today? | Learn about exchange program opportunities | Drop down, select one | Single | Y | Skip Logic Group | Primary Reason | ||
| Apply for exchange programs | |||||||||
| Seek educational and cultural information | |||||||||
| See funding opportunities/open RFGPs | |||||||||
| Read press/public releases/briefings | |||||||||
| J-1 Visas | |||||||||
| Find required visa information | |||||||||
| Learn about the Bureau | |||||||||
| Find a photo or video of interest | |||||||||
| Research the available resources | |||||||||
| Other (please specify) | A | ||||||||
| KFB05549 | A | If you answered "Other" above, please specify your other reason. | Text area, no char limit | Single | N | Other Reason | |||
| KFB05550 | Did you use Program Search to find information? | Yes | Drop down, select one | Single | Y | Program Search | |||
| No | |||||||||
| Couldn't find it | |||||||||
| KFB05551 | What method did you primarily use to find your information today? | Site Search | A | Drop down, select one | Single | Y | Skip Logic Group | Method | |
| Links within the page | D | ||||||||
| Top navigation | D | ||||||||
| Find an Exchange Program | |||||||||
| Other, please specify | B | ||||||||
| KFB05554 | B | Please specify your other method of finding information | Text field, <100 char | N | Other Method | ||||
| KFB05552 | A | If you used the site's search, what was your experience? | I had no difficulty using the site's search feature | Drop down, select one | Single | Y | Site Search | ||
| I found what I was looking for on the first try | |||||||||
| I found what I was looking for after several tries | |||||||||
| I found something related to what I was looking for | |||||||||
| The search returned too many results | |||||||||
| The search returned not enough or no results | |||||||||
| The results were too similar/redundant | |||||||||
| Search required too many refinements | |||||||||
| The results were not helpful | |||||||||
| Search speed was slow | |||||||||
| Other (please specify) | C | ||||||||
| KFB05553 | C | Please give us any additional feedback about our site's search. | Text area, no char limit | N | Other Search Feedback | ||||
| KFB05558 | D | What type of difficulty, if any, did you encounter with the navigation process? | I had no difficulty with the navigation process | Drop down, select one | Single | Y | Navigation Difficulty | ||
| Could not determine the best link on most pages | |||||||||
| Could not navigate back to previous information | |||||||||
| I often felt lost, not know where I was | |||||||||
| Had difficulty finding related information | |||||||||
| Too many links or navigational choices | |||||||||
| Links did not take me where I excepted | |||||||||
| I didn't know where to begin | |||||||||
| Had difficulty finding detailed information | |||||||||
| Had technical difficulties (e.g. broken links, error messages) | |||||||||
| Navigation did not support what I was trying to accomplish | |||||||||
| Links/navigational choices are difficult to understand | |||||||||
| Navigated to the general area but could not find the specific content I needed | |||||||||
| Other, please specify | E | ||||||||
| E | Please tell us what other navigational difficulty did you experience. | Text area, no char limit | N | Other navigation difficulty | |||||
| KFB05555 | Did you find what you were looking for? | Yes | Radio button, one-up vertical | Single | Y | Did you find | |||
| Partially | |||||||||
| No (please specify) | A | ||||||||
| KFB05556 | A | If not, what were you looking for? | |||||||
| KFB05559 | What other information would you like to see on our site? | Stories from exchange participants | Checkbox, one-up vertical | Multi | N | Skip Logic Group | Information | ||
| More grant information | |||||||||
| Audio/visual components | |||||||||
| Photo galleries | |||||||||
| Moderated chats | |||||||||
| Q&A sessions | |||||||||
| Other | A | ||||||||
| KFB05560 | A | If you answered "Other" above, please specify what other information you would like to see. | Text area, no char limit | N | Other Information | ||||
| KFB05561 | Do you use your cell phone to access the internet? | Always | A | Radio button, one-up vertical | Single | Y | Skip Logic Group | Cell Phone | |
| Sometimes | A | ||||||||
| Never | |||||||||
| KFB05562 | A | Do you visit this site on your cell phone? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Visit on cell phone | |
| No | |||||||||
| KFB05563 | How would you rate your familiarity with the following? |
View and contribute often | Dropdown (Select-one) | Single | N | Multiple List | 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 | |||||||||
| KFB05564 | View and contribute often | Dropdown (Select-one) | Single | N | Multiple List | 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 | |||||||||
| Exchanges Connect | View and contribute often | Dropdown (Select-one) | Single | N | Multiple List | SM_Exch Connect | |||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| State Alumni | View and contribute often | Dropdown (Select-one) | Single | N | Multiple List | SM_State Alumni | |||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB05567 | YouTube | View and contribute often | Dropdown (Select-one) | Single | N | Multiple List | 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 | |||||||||
| KFB05569 | How would you most like to interact with this site? (Please select all that apply) | Bookmark or tag pages | 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 Vodcasts or video | |||||||||
| Adding a widget or gadget to my personalized page | |||||||||
| Following a microblog | |||||||||
| Other (please specify) | A | ||||||||
| KFB05570 | A | Other social media interaction | Text field, <100 char | N | OPS Group | OE_Preferred SM | |||
| KFB05571 | What is your gender? | Female | Radio button, one-up vertical | Single | N | Gender | |||
| Male | |||||||||
| I prefer not to respond | |||||||||
| KFB05572 | Please select the category that includes your age? | 17 and under | Radio button, one-up vertical | Single | N | Age | |||
| 18 – 24 | |||||||||
| 25 – 34 | |||||||||
| 35 – 44 | |||||||||
| 45 – 54 | |||||||||
| 55 – 64 | |||||||||
| 65 and over | |||||||||
| I prefer not to respond | |||||||||
| KFB05573 | Which of the following best describes the highest level of education you have completed? | Current middle or high school student | Drop down, select one | Single | N | Education | |||
| Did not complete high school | |||||||||
| High school graduate | |||||||||
| Vocational school | |||||||||
| College/university graduate | |||||||||
| Some postgraduate school | |||||||||
| Masters/professional degree | |||||||||
| Doctoral Degree | |||||||||
| Prefer not to respond | |||||||||
| KFB05574 | If you could make one improvement to the site, what would it be? | Text area, no char limit | N | One Improvement | |||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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