Model Instance Name: | |||||||||||
WelcometoUSA.gov | |||||||||||
MID: | |||||||||||
Date: 10/7/2013 | |||||||||||
Welcome and Thank You Text | |||||||||||
Directions: | |||||||||||
This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome and Thank you text shown in the boxes below. Please read comments before using any of the text. | |||||||||||
Examples | |||||||||||
Welcome Text Example | |||||||||||
Welcome Text | |||||||||||
Thank you for visiting WelcometoUSA.gov. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. All input you provide is strickly confidential. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. |
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Thank You Text Example | |||||||||||
DEFAULT Thank You Text | |||||||||||
ALTERNATE WEB Thank You Text | |||||||||||
Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website. |
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Model Instance Name: | |||||||||
WelcometoUSA.gov | |||||||||
MID: | |||||||||
Partitioned (Y/N)? Y | |||||||||
Date: 10/7/2013 | |||||||||
WelcometoUSA.gov | |||||||||
Model questions utilize the ACSI methodology to determine scores and impacts | |||||||||
ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||||||
MQ Label | MQ Label | MQ Label | |||||||
Site Information (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | |||||||
1 | Site Information - Thoroughness | Please rate the thoroughness of information provided on the WelcometoUSA site. | 17 | Satisfaction - Overall | What is your overall satisfaction with the WelcometoUSA site? (1=Very Dissatisfied, 10=Very Satisfied) |
20 | Return | How likely are you to return to the WelcometoUSA site in the future? | |
2 | Site Information - Understandable | Please rate how understandable the WelcometoUSA site’s information is. | 18 | Satisfaction - Expectations | How well does the WelcometoUSA site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |||
3 | Site Information - Answers | Please rate how well the WelcometoUSA site’s information provides answers to your questions. | 19 | Satisfaction - Ideal | How does the WelcometoUSA site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
21 | Recommend | How likely are you to recommend the WelcometoUSA site to someone else? | |
Site Performance (1=Poor, 10=Excellent, Don't Know) | Primary Resource (1=Very Unlikely, 10=Very Likely) | ||||||||
4 | Site Performance - Loading | Please rate how quickly pages load on the WelcometoUSA site. | 22 | Primary Resource | How likely are you to use the WelcometoUSA site as your primary resource for obtaining immigrant information about United States? | ||||
5 | Site Performance - Consistency | Please rate the consistency of speed from page to page on the WelcometoUSA site. | |||||||
6 | Site Performance - Errors | Please rate the ability to load pages without getting error messages on the WelcometoUSA site. | |||||||
Look and Feel (1=Poor, 10=Excellent, Don't Know) | |||||||||
7 | Look and Feel - Appeal | Please rate the visual appeal of the WelcometoUSA site. | |||||||
8 | Look and Feel - Balance | Please rate the balance of graphics and text on the WelcometoUSA site. | |||||||
9 | Look and Feel - Readability | Please rate the readability of the pages on the WelcometoUSA site. | |||||||
Navigation (1=Poor, 10=Excellent, Don't Know) | |||||||||
10 | Navigation - Organized | Please rate how well the WelcometoUSA site is organized. | |||||||
11 | Navigation - Options | Please rate the options available for navigating the WelcometoUSA site. | |||||||
12 | Navigation - Layout | Please rate how well the WelcometoUSA site layout helps you find what you are looking for. | |||||||
Search (1=Poor, 10=Excellent, Don't Know) | |||||||||
13 | Search - Results Relevance | Please rate the relevance of search box results on the WelcometoUSA site. | |||||||
14 | Search - Results Organization | Please rate the organization of search box results on the WelcometoUSA site. | |||||||
15 | Search - Results Help | Please rate how well the search box results help you decide what to select. | |||||||
16 | Search - Feature Narrow | Please rate how well the search feature helps you to narrow the results to find what you want. |
Model Instance Name: | |||||||||||
WelcometoUSA.gov | underlined & italicized: RE-ORDER | ||||||||||
MID: | pink: ADDITION | ||||||||||
Date: 10/7/2013 | blue + -->: REWORDING | ||||||||||
WelcometoUSA.gov 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 | ||
How frequently do you visit the WelcometoUSA site? | First time | Drop down, select one | S | Y | Frequency | ||||||
Daily | |||||||||||
Weekly | |||||||||||
Monthly | |||||||||||
Every few months or less often | |||||||||||
Which of the following best describe your role when visiting the WelcometoUSA site? | New immigrant | Radio button, one-up vertical | S | Y | Role | ||||||
Legal permanent resident | |||||||||||
Naturalized citizen | |||||||||||
Individual abroad interested in living in the United States | |||||||||||
Individual eligible to naturalize | |||||||||||
Refugee/asylee | |||||||||||
Community-based organization | |||||||||||
Adult educator | |||||||||||
Public librarian | |||||||||||
Volunteer | |||||||||||
State or local government | |||||||||||
Other | |||||||||||
Which area of WelcometoUSA site are you primarily visiting today? | For Receiving Communities | Drop down, select one | S | Y | Area | ||||||
Immigration and Citizenship | |||||||||||
Education and Child Care | |||||||||||
Health Care and Families | |||||||||||
Government Benefits | |||||||||||
About the United States | |||||||||||
Money and Finance | |||||||||||
Employment | |||||||||||
Emergencies and Safety | |||||||||||
About Us | |||||||||||
Just browsing | |||||||||||
Other | |||||||||||
What is your primary reason for visiting the WelcometoUSA site today? | Find an English class in my area | Radio button, one-up vertical | S | Y | Reason | ||||||
Download the guide Welcome to the United States | |||||||||||
Apply for a green card | |||||||||||
Apply for U.S. Citizenship | |||||||||||
Download the guide to naturalization | |||||||||||
Get the latest study materials for naturalization test | |||||||||||
Find a place to live | |||||||||||
Find a job | |||||||||||
Research about starting a business in the US | |||||||||||
Find legal assistance | |||||||||||
Review information for refugees and asylees | |||||||||||
Learn about education for children or adult education | |||||||||||
Find childcare information | |||||||||||
Get information on health care and health insurance | |||||||||||
Review emergency information | |||||||||||
Find information about housing | |||||||||||
Learn about government benefits | |||||||||||
Learn about the United States | |||||||||||
Research about money and financing | |||||||||||
Get a social security number | |||||||||||
Get a driver's license | |||||||||||
Other | |||||||||||
What method did you use to find information on the WelcometoUSA site today? | Top navigation bar | Drop down, select one | S | Y | Method | ||||||
Left-hand advertisement | |||||||||||
Right-hand quick links | |||||||||||
Links in the page | |||||||||||
Site's search feature | |||||||||||
Both the navigational links and search box | |||||||||||
Did you find what you were looking for? | Yes | Radio button, one-up vertical | S | Y | Skip Logic Group* | Find | |||||
Partially | |||||||||||
No, please specify: | A | ||||||||||
A | What information were you unable to find today? Please Be specific as possible. | Text area, no char limit | N | No info | |||||||
Please rate the usefulness of the following information provided on the WelcometoUSA site. About the United States |
Very useful | Drop down, select one | S | Y | Multiple Lists Group* | USA | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Education and Childcare | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Education | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Emergencies and Safety | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Emergency | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Employment | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Employment | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Government Benefits | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Benefits | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Healthcare and Families/Housing | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Healthcare | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Immigration and Citizenship For Immigrants/Permanent Residents | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Immigration | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
Money and Finance | Very useful | Drop down, select one | S | Y | Multiple Lists Group* | Finance | |||||
Somewhat useful | |||||||||||
Not very useful | |||||||||||
Not at all useful | |||||||||||
Not applicable | |||||||||||
If you could make one improvement to the WelcometoUSA site, what would it be? | Text area, no char limit | N | Improvement | ||||||||
Do you ever access the Internet using a mobile phone or tablet? | Yes | A, B | Radio button, one-up vertical | S | Y | Access Mobile Internet | |||||
No | |||||||||||
A | Which of the following devices do you have? | A SmartPhone | Checkbox, one-up vertical | M | N | Phone or Tablet | |||||
A tablet | |||||||||||
None of these | |||||||||||
B | Have you ever accessed ANY federal website using a mobile phone or tablet? | Yes | C | Radio button, one-up vertical | S | N | Federal Mobile Site Usage | ||||
No, but I plan to do so | |||||||||||
No, but I might in the future | |||||||||||
No, and I don't plan to do so | |||||||||||
C | Have you ever accessed WelcometoUSA's site using a mobile phone or tablet? | Yes | Radio button, one-up vertical | S | N | Mobile Site Usage | |||||
No, but I plan to do so | |||||||||||
No, but I might in the future | |||||||||||
No, and I don't plan to do so | |||||||||||
What is your gender? | Female | Radio button, one-up vertical | S | N | Gender | ||||||
Male | |||||||||||
I prefer not to respond | |||||||||||
Please select the category that includes your age. | 17 and under | Radio button, one-up vertical | S | N | Age | ||||||
18 - 24 | |||||||||||
25 - 34 | |||||||||||
35 - 44 | |||||||||||
45 - 54 | |||||||||||
55 - 64 | |||||||||||
65 and over | |||||||||||
I prefer not to respond | |||||||||||
Which of the following best describes the highest level of education you have completed? | Elementary school | Radio button, one-up vertical | S | N | Education | ||||||
Middle school or less | |||||||||||
Current middle or high school student | |||||||||||
Did not complete high school | |||||||||||
High school graduate | |||||||||||
Vocational/trade school | |||||||||||
College/university graduate | |||||||||||
Some postgraduate school | |||||||||||
Masters/professional degree | |||||||||||
Doctoral Degree | |||||||||||
I prefer not to respond | |||||||||||
In which state do you reside? | Alabama | Drop down, select one | S | N | State | ||||||
Alaska | |||||||||||
Arizona | |||||||||||
Arkansas | |||||||||||
California | |||||||||||
Colorado | |||||||||||
Connecticut | |||||||||||
Delaware | |||||||||||
District of Columbia | |||||||||||
Florida | |||||||||||
Georgia | |||||||||||
Hawaii | |||||||||||
Idaho | |||||||||||
Illinois | |||||||||||
Indiana | |||||||||||
Iowa | |||||||||||
Kansas | |||||||||||
Kentucky | |||||||||||
Louisiana | |||||||||||
Maine | |||||||||||
Maryland | |||||||||||
Massachusetts | |||||||||||
Michigan | |||||||||||
Minnesota | |||||||||||
Mississippi | |||||||||||
Missouri | |||||||||||
Montana | |||||||||||
Nebraska | |||||||||||
Nevada | |||||||||||
New Hampshire | |||||||||||
New Jersey | |||||||||||
New Mexico | |||||||||||
New York | |||||||||||
North Carolina | |||||||||||
North Dakota | |||||||||||
Ohio | |||||||||||
Oklahoma | |||||||||||
Oregon | |||||||||||
Pennsylvania | |||||||||||
Rhode Island | |||||||||||
South Carolina | |||||||||||
South Dakota | |||||||||||
Tennessee | |||||||||||
Texas | |||||||||||
Utah | |||||||||||
Vermont | |||||||||||
Virginia | |||||||||||
Washington | |||||||||||
West Virginia | |||||||||||
Wisconsin | |||||||||||
Wyoming | |||||||||||
I prefer not to respond | |||||||||||
What is your country of origin? | Afghanistan | Drop down, select one | S | N | Country | ||||||
Albania | |||||||||||
Algeria | |||||||||||
Andorra | |||||||||||
Angola | |||||||||||
Antigua and Barbuda | |||||||||||
Argentina | |||||||||||
Armenia | |||||||||||
Australia | |||||||||||
Austria | |||||||||||
Azerbaijan | |||||||||||
Bahamas | |||||||||||
Bahrain | |||||||||||
Bangladesh | |||||||||||
Barbados | |||||||||||
Belarus | |||||||||||
Belgium | |||||||||||
Belize | |||||||||||
Benin | |||||||||||
Bhutan | |||||||||||
Bolivia (Plurinational State of) | |||||||||||
Bosnia and Herzegovina | |||||||||||
Botswana | |||||||||||
Brazil | |||||||||||
Brunei Darussalam | |||||||||||
Bulgaria | |||||||||||
Burkina Faso | |||||||||||
Burundi | |||||||||||
Cambodia | |||||||||||
Cameroon | |||||||||||
Canada | |||||||||||
Cape Verde | |||||||||||
Central African Republic | |||||||||||
Chad | |||||||||||
Chile | |||||||||||
China | |||||||||||
Colombia | |||||||||||
Comoros | |||||||||||
Congo | |||||||||||
Cook Islands | |||||||||||
Costa Rica | |||||||||||
Côte d'Ivoire | |||||||||||
Croatia | |||||||||||
Cuba | |||||||||||
Cyprus | |||||||||||
Czech Republic | |||||||||||
Democratic People's Republic of Korea | |||||||||||
Democratic Republic of the Congo | |||||||||||
Denmark | |||||||||||
Djibouti | |||||||||||
Dominica | |||||||||||
Dominican Republic | |||||||||||
Ecuador | |||||||||||
Egypt | |||||||||||
El Salvador | |||||||||||
Equatorial Guinea | |||||||||||
Eritrea | |||||||||||
Estonia | |||||||||||
Ethiopia | |||||||||||
Fiji | |||||||||||
Finland | |||||||||||
France | |||||||||||
Gabon | |||||||||||
Gambia | |||||||||||
Georgia | |||||||||||
Germany | |||||||||||
Ghana | |||||||||||
Greece | |||||||||||
Grenada | |||||||||||
Guatemala | |||||||||||
Guinea | |||||||||||
Guinea-Bissau | |||||||||||
Guyana | |||||||||||
Haiti | |||||||||||
Honduras | |||||||||||
Hungary | |||||||||||
Iceland | |||||||||||
India | |||||||||||
Indonesia | |||||||||||
Iran (Islamic Republic of) | |||||||||||
Iraq | |||||||||||
Ireland | |||||||||||
Israel | |||||||||||
Italy | |||||||||||
Jamaica | |||||||||||
Japan | |||||||||||
Jordan | |||||||||||
Kazakhstan | |||||||||||
Kenya | |||||||||||
Kiribati | |||||||||||
Kuwait | |||||||||||
Kyrgyzstan | |||||||||||
Lao People's Democratic Republic | |||||||||||
Latvia | |||||||||||
Lebanon | |||||||||||
Lesotho | |||||||||||
Liberia | |||||||||||
Libya | |||||||||||
Lithuania | |||||||||||
Luxembourg | |||||||||||
Madagascar | |||||||||||
Malawi | |||||||||||
Malaysia | |||||||||||
Maldives | |||||||||||
Mali | |||||||||||
Malta | |||||||||||
Marshall Islands | |||||||||||
Mauritania | |||||||||||
Mauritius | |||||||||||
Mexico | |||||||||||
Micronesia (Federated States of) | |||||||||||
Monaco | |||||||||||
Mongolia | |||||||||||
Montenegro | |||||||||||
Morocco | |||||||||||
Mozambique | |||||||||||
Myanmar | |||||||||||
Namibia | |||||||||||
Nauru | |||||||||||
Nepal | |||||||||||
Netherlands | |||||||||||
New Zealand | |||||||||||
Nicaragua | |||||||||||
Niger | |||||||||||
Nigeria | |||||||||||
Niue | |||||||||||
Norway | |||||||||||
Oman | |||||||||||
Pakistan | |||||||||||
Palau | |||||||||||
Panama | |||||||||||
Papua New Guinea | |||||||||||
Paraguay | |||||||||||
Peru | |||||||||||
Philippines | |||||||||||
Poland | |||||||||||
Portugal | |||||||||||
Qatar | |||||||||||
Republic of Korea | |||||||||||
Republic of Moldova | |||||||||||
Romania | |||||||||||
Russian Federation | |||||||||||
Rwanda | |||||||||||
Saint Kitts and Nevis | |||||||||||
Saint Lucia | |||||||||||
Saint Vincent and the Grenadines | |||||||||||
Samoa | |||||||||||
San Marino | |||||||||||
Sao Tome and Principe | |||||||||||
Saudi Arabia | |||||||||||
Senegal | |||||||||||
Serbia | |||||||||||
Seychelles | |||||||||||
Sierra Leone | |||||||||||
Singapore | |||||||||||
Slovakia | |||||||||||
Slovenia | |||||||||||
Solomon Islands | |||||||||||
Somalia | |||||||||||
South Africa | |||||||||||
South Sudan | |||||||||||
Spain | |||||||||||
Sri Lanka | |||||||||||
Sudan | |||||||||||
Suriname | |||||||||||
Swaziland | |||||||||||
Sweden | |||||||||||
Switzerland | |||||||||||
Syrian Arab Republic | |||||||||||
Tajikistan | |||||||||||
Thailand | |||||||||||
The former Yugoslav Republic of Macedonia | |||||||||||
Timor-Leste | |||||||||||
Togo | |||||||||||
Tonga | |||||||||||
Trinidad and Tobago | |||||||||||
Tunisia | |||||||||||
Turkey | |||||||||||
Turkmenistan | |||||||||||
Tuvalu | |||||||||||
Uganda | |||||||||||
Ukraine | |||||||||||
United Arab Emirates | |||||||||||
United Kingdom | |||||||||||
United Republic of Tanzania | |||||||||||
United States of America | |||||||||||
Uruguay | |||||||||||
Uzbekistan | |||||||||||
Vanuatu | |||||||||||
Venezuela (Bolivarian Republic of) | |||||||||||
Viet Nam | |||||||||||
Yemen | |||||||||||
Zambia | |||||||||||
Zimbabwe | |||||||||||
I prefer not to respond |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |