671 2013 671 FulBright Questionnaire
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2013 671 FulBright Questionnaire v2 3-24-11.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⚠️ Notice: This form may be outdated.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
Custom Qsts 3-24-11
Overview
Current Model QstsCustom Qsts 3-24-11
Sheet 1: Current Model Qsts
| Model Instance Name: | |||||
| Dept of State Fulbright v2 | |||||
| MID: hcZ9gQstJo9UlNwAU9IZJg== | |||||
| Date: | 11/12/2009 | ||||
| Dept of State Fulbright 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 your perception of the accuracy of information on this site. | 16 | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
19 | How likely are you to return to this site? |
| 2 | Please rate the quality of information on this site. | 17 | 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. | 18 | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
20 | 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. | 21 | How likely are you to use this site as your primary resource for gathering general information about the Fulbright program and other related information? | ||
| 5 | Please rate the convenience of the features on this site. | ||||
| 6 | Please rate the variety of features on this site. | ||||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | |||||
| 7 | Please rate the visual appeal of this site. | ||||
| 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 how well the site is organized. | ||||
| 11 | Please rate the options available for navigating this site. | ||||
| 12 | Please rate how well the site layout helps you find what you are looking for. | ||||
| 13 | Please rate the number of clicks to get where you want on this site. | ||||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | |||||
| 14 | Please rate how quickly pages load on this site. | ||||
| 15 | Please rate the consistency of speed from page to page on this site. | ||||
| 16 | Please rate the ability to load pages without getting error messages on this site. | ||||
Sheet 2: Custom Qsts 3-24-11
| Model Instance Name: | |||||||||
| Dept of State Fulbright v2 | underlined & italicized: RE-ORDER | ||||||||
| MID: hcZ9gQstJo9UlNwAU9IZJg== | pink: ADDITION | ||||||||
| Date: 3/24/2011 | blue + -->: REWORDING | ||||||||
| Dept of State Fulbright 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 | CQ Label |
| KFB06294 | How frequently do you visit this site? | This is my first time | Drop down, select one | single | Y | ||||
| Daily | |||||||||
| More than once a day | |||||||||
| Weekly | |||||||||
| Monthly | |||||||||
| Every six months or less | |||||||||
| Annually | |||||||||
| KFB06295 | Where are you from? | United States of America | Drop down, select one | single | Y | ||||
| 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 | |||||||||
| West Bank | |||||||||
| Yemen | |||||||||
| Zambia | |||||||||
| Zimbabwe | |||||||||
| KFB06296 | Would you visit the site more often if it had more resources in languages other than English? | Yes | Radio button, one-up vertical | single | Y | Languages | |||
| No | |||||||||
| Maybe | |||||||||
| KFB06297 | Which best describes you? | Alumnus/Alumni of United States Government Exchange Program | Drop down, select one | single | Y | OPS Type 5 | |||
| Current exchange program participant | |||||||||
| Student | |||||||||
| 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 | |||||||||
| Business | |||||||||
| Media | |||||||||
| Military | |||||||||
| Non-profit Organization | |||||||||
| Other (please specify) | A | ||||||||
| KFB06298 | A | Please tell us what best describes you. | Text field, <100 char | N | Other describes |
||||
| Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important). Rank 1 (Required) |
Message or recommendation from a friend on a social network | Drop down, select one | Single | Y | Rank Group | SV - Rank 1 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | |||||||||
| Advertising on social networks (Facebook, MySpace, Twitter) | Randomize | ||||||||
| Message directly from the agency on a social network | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Search engine (Google, Yahoo, MSN, etc.) | |||||||||
| College/University website | |||||||||
| Other U.S. Department of State web site | |||||||||
| U.S. Embassy website | |||||||||
| Fulbright commission website | |||||||||
| Exchange program adviser/administrator | |||||||||
| Educational advising site | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 2 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group | SV - Rank 2 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | |||||||||
| Advertising on social networks (Facebook, MySpace, Twitter) | Randomize | ||||||||
| Message directly from the agency on a social network | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Search engine (Google, Yahoo, MSN, etc.) | |||||||||
| College/University website | |||||||||
| Other U.S. Department of State web site | |||||||||
| U.S. Embassy website | |||||||||
| Fulbright commission website | |||||||||
| Exchange program adviser/administrator | |||||||||
| Educational advising site | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 3 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group | SV - Rank 3 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | |||||||||
| Advertising on social networks (Facebook, MySpace, Twitter) | Randomize | ||||||||
| Message directly from the agency on a social network | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Search engine (Google, Yahoo, MSN, etc.) | |||||||||
| College/University website | |||||||||
| Other U.S. Department of State web site | |||||||||
| U.S. Embassy website | |||||||||
| Fulbright commission website | |||||||||
| Exchange program adviser/administrator | |||||||||
| Educational advising site | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| KFB06301 | What is your primary reason for coming to the site today? | Learn about Fulbright Program opportunities | B | Radio button, one-up vertical | single | Y | Skip Logic | ||
| To get Fulbright application information | |||||||||
| To fill out a Fulbright application | |||||||||
| Learn about Fulbright grantees (who they are, what is expected, how it is to be one) | |||||||||
| Find a Fulbright grant | |||||||||
| Research participating countries | |||||||||
| Read the latest news and highlights | |||||||||
| Contribute news, stories or photos | |||||||||
| Contact the Fulbright Program | |||||||||
| Other, (please specify) | A | ||||||||
| KFB06302 | A | Please specify your primary reason for coming to the site today: | Text area, no char limit | single | N | Skip Logic | |||
| KFB06303 | B | What specific program opportunities are you looking for today? (Check all that apply) | Student programs (For graduating seniors, graduate students, young professionals, artists and scientists) | Checkbox, one-up vertical | Multi | Y | Skip Logic | Specific program |
|
| Scholar programs (For scholars, college/university faculty members, experienced professionals, artists and scientists) | |||||||||
| Teacher/ School Administrator programs | |||||||||
| Other, please specify | C | ||||||||
| KFB06304 | C | Please specify what other program opportunity you were looking for. | Text area, no char limit | single | N | Skip Logic | Other Program |
||
| KFB06306 | How would you rate your familiarity with social media on the web? Podcasts or audio on the web |
View and contribute often | Drop down, select one | Single | N | Multiple List Groups | SM_Audio | ||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB06307 | Online social networks (Facebook, MySpace) | View and contribute often | Drop down, select one | Single | N | Multiple List Groups | SM_Social Networks |
||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB06310 | Blogs or wikis | View and contribute often | Drop down, select one | Single | N | Multiple List Groups | SM_Blogs | ||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB06311 | Vodcasts or videos on the web (YouTube) | View and contribute often | Drop down, select one | Single | N | Multiple List Groups | SM_Videos | ||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB06314 | Microblog (Twitter) | View and contribute often | Drop down, select one | Single | N | Multiple List Groups | SM_Micro | ||
| View often and contribute occasionally | |||||||||
| View often but don’t contribute | |||||||||
| View and contribute occasionally | |||||||||
| View occasionally but don’t contribute | |||||||||
| No familiarity | |||||||||
| KFB06316 | 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 | |||||||||
| Reading blogs | |||||||||
| Contributing to wikis | |||||||||
| Receiving newsletters/email updates | |||||||||
| Subscribing to RSS feeds | |||||||||
| Listening to Podcasts or audio | |||||||||
| Watching Vodcasts or video | |||||||||
| Following a microblog | |||||||||
| Other (please specify) | A | ||||||||
| KFB06317 | A | Other social media interaction | Text field, <100 char | N | OPS Group | OE_Preferred SM |
|||
| KFB06318 | What method did you primarily use to find your information today? | Site's search feature | A | Drop down, select one | single | Y | |||
| Categories on the left and top navigation bars | B | ||||||||
| Links in the page | B | ||||||||
| Both search and navigation | A,B | ||||||||
| Subject index | B | ||||||||
| Other | |||||||||
| KFB06319 | B | How would you describe your navigation experience on this site today? (Please select all that apply.) | I had no difficulty navigating on this site | Checkbox, one-up vertical | Multi | N | Skip Logic Group | Navigation Difficulty |
|
| Links did not take me where I expected | |||||||||
| Had difficulty finding relevant information | |||||||||
| Links/labels were difficult to understand | |||||||||
| Too many links/navigational options to choose from | |||||||||
| Had technical difficulties (i.e. broken links, error messages) | |||||||||
| Could not navigate back to previous information | |||||||||
| Navigated to the general area but could not find the specific content | |||||||||
| Other (please specify) | C | ||||||||
| KFB06320 | C | Please tell us what other navigational difficulty did you experience. | Text area, no char limit | N | Skip Logic Group | Other Navigation Difficulty |
|||
| KFB06321 | A | If you used the search feature, what was your experience? | I had no difficulty using the site's search feature | Checkbox, one-up vertical | multi | N | 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) | D | ||||||||
| ACQOsl0002416 | D | Please tell us what other search difficulty you experienced. | Text area, no char limit | N | Skip Logic Group | Other Search Difficulty |
|||
| KFB06322 | Did you find what you were looking for today? | Yes | Radio button, one-up vertical | single | Y | Skip Logic | Accomplished Goal |
||
| Partially | B | ||||||||
| No (please specify) | A | ||||||||
| KFB06323 | A | If you were unable to find what you were looking for, please specify what you were looking for. | Text field, no char limit | N | Skip Logic | Info not found | |||
| If you were only able to find information partially, please specify the information topic/category. | Text field, no char limit | N | Skip Logic | Partial Info | |||||
| KFB06329 | Have you ever participated in a Fulbright Program? | Yes | A | Radio button, one-up vertical | single | Y | Skip Logic | Program Participant |
|
| No | |||||||||
| KFB06330 | A | Do you feel that this site accurately represents the participants in the Fulbright Program? | Yes | Radio button, one-up vertical | single | Y | Skip Logic | Accurately represents |
|
| No | B | ||||||||
| Don't know | |||||||||
| KFB06331 | B | If not, what other stories or highlights would you like to see? | Text area, no char limit | N | Skip Logic | Other stories | |||
| KFB06335 | If you could make one improvement to this site, what would it be? | Text area, no char limit | N | ||||||
| KFB06336 | What is your gender? | Female | Radio button, one-up vertical | single | N | ||||
| Male | |||||||||
| I prefer not to respond | |||||||||
| KFB06337 | Please select the category that includes your age? | 17 and under | Radio button, one-up vertical | single | N | ||||
| 18 – 24 | |||||||||
| 25 – 34 | |||||||||
| 35 – 44 | |||||||||
| 45 – 54 | |||||||||
| 55 – 64 | |||||||||
| 65 and over | |||||||||
| I prefer not to respond | |||||||||
| KFB06338 | 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 | ||||
| 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 | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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