Model Instance Name: |
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FTC ComplaintAssistant |
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MID: |
hI0JsEZkMIQJ5F5wwQ48og== |
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Date: |
6/26/2009 |
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Model questions utilize the ACSI methodology to determine scores and impacts |
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ELEMENTS (drivers of satisfaction) |
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CUSTOMER SATISFACTION |
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FUTURE BEHAVIORS |
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Instructions for Completion (1=Poor, 10=Excellent, Don't Know) |
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Satisfaction (1=Poor, 10=Excellent) |
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Recommend (1=Not Very Likely, 10=Very Likely) |
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Please rate the simplicity of instructions for completing the ComplaintAssistant process. |
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What is your overall satisfaction with the ComplaintAssistant process? |
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How likely are you to recommend the FTC ComplaintAssistant process to someone else? |
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Please rate how well the instructions for completing the ComplaintAssistant process provide answers to your questions. |
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How well does the ComplaintAssistant process meet your expectations? |
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Please rate the clarity of instructions for completing the ComplaintAssistant process. |
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How does the ComplaintAssistant process compare to your idea of an ideal complaints process? |
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Look and Feel (1=Poor, 10=Excellent, Don't Know) |
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Please rate the visual appeal of the ComplaintAssistant process. |
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Please rate the balance of graphics and text throughout the ComplaintAssistant process. |
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Please rate the readability of the pages in the ComplaintAssistant process. |
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Navigation (1=Poor, 10=Excellent, Don't Know) |
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Please rate how well the ComplaintAssistant process is organized. |
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Please rate the options available for navigating the ComplaintAssistant process. |
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Please rate the number of clicks it takes to complete the ComplaintAssistant process. |
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Site Performance (1=Poor, 10=Excellent, Don't Know) |
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10 |
Please rate how quickly pages load in the ComplaintAssistant process. |
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Please rate the consistency of speed from page to page in the ComplaintAssistant process. |
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Please rate the ability to load pages without getting error messages in the ComplaintAssistant process. |
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Model Instance Name: |
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red & strike-through: DELETE |
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FTC ComplaintAssistant |
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underlined & italicized: RE-ORDER |
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MID: |
hI0JsEZkMIQJ5F5wwQ48og== |
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pink: ADDITION |
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Date: |
6/26/2009 |
blue + -->: REWORDING |
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FTC ComplaintAssistant CUSTOM QUESTION LIST |
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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 |
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AKR5413 |
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Were you aware of the FTC ComplaintAssistant before visiting the site today? |
Yes |
B |
Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
Aware Before Visit |
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No |
C |
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Not sure |
C |
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AKR5414 |
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 |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
Times Used |
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1 |
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2 |
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3 or more |
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AKR5415 |
C |
If you were not aware of the FTC ComplaintAssistant before today, how did you find us? |
FTC Website |
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Checkbox, one-up vertical |
Multi |
Y |
Skip Logic Group |
How Did You Find |
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FTC Publication |
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Search engine |
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Another website |
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Referral from another agency, please specify |
A |
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Friend/family member |
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Contacted the FTC |
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Other, please specify |
A |
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AKR5416 |
A |
Please let us know how you found us. |
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Text area, no char limit |
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N |
Skip Logic Group |
OE_How Did You Find |
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AKR5417 |
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Was the FTC ComplaintAssistant easy to use? |
Yes |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
Easy to Use |
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No |
D |
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Not sure |
D |
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AKR5418 |
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.). |
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Checkbox, one-up vertical |
Multi |
Y |
Skip Logic Group |
Difficulties |
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I did not understand what I was supposed to do. |
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I was unable to submit my complaint. |
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Other, please specify |
A |
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AKR5419 |
A |
Please let us know what other difficulties you had. |
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Text area, no char limit |
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N |
Skip Logic Group |
OE_Difficulties |
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AKR5420 |
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If you could make one improvement to the FTC ComplaintAssistant process, what would it be? |
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Text area, no char limit |
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N |
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OE_One Improvement |
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