Model Instance Name: | |||||||||||
IRS ACH | |||||||||||
MID: | |||||||||||
Date: 11/01/2013 | |||||||||||
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 IRS Direct Pay. You've been randomly chosen to take part in a brief survey about this service. Please take a few minutes to share your opinions which will help us create the best experience possible for you. |
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Thank You Text Example | |||||||||||
DEFAULT Thank You Text | |||||||||||
“Thank you for taking our survey - and for helping us serve you better. We appreciate your input!” | |||||||||||
ALTERNATE WEB Thank You Text | |||||||||||
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: | ||||||||||
IRS ACH | ||||||||||
MID: | ||||||||||
Partitioned (Y/N)? Y | ||||||||||
Date: 11/01/2013 | ||||||||||
IRS ACH | ||||||||||
Model questions utilize the ACSI methodology to determine scores and impacts | ||||||||||
ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | ||||||||
Site Information (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Recommend (1=Very Unlikely, 10=Very Likely) | ||||||||
1 | Please rate the thoroughness of information provided on IRS Direct Pay. | 16 | What is your overall satisfaction with IRS Direct Pay? (1=Very Dissatisfied, 10=Very Satisfied) | 19 | How likely are you to recommend IRS Direct Pay to someone else? | |||||
2 | Please rate how understandable information is on IRS Direct Pay. | 17 | How well does IRS Direct Pay meet your expectations? (1=Falls Short, 10=Exceeds) | Return (1=Very Unlikely, 10=Very Likely) | ||||||
3 | Please rate how well IRS Direct Pay information provides answers to your questions. | 18 | How does IRS Direct Pay compare to your idea of an ideal pay service? (1=Not Very Close, 10=Very Close) | 20 | How likely are you to return to IRS Direct Pay in the future? | |||||
Site Performance (1=Poor, 10=Excellent, Don't Know) | Use Service (1=Very Unlikely, 10=Very Likely) | |||||||||
4 | Please rate how quickly pages load on IRS Direct Pay. | 21 | How likely are you to use IRS Direct Pay again in the future? | |||||||
5 | Please rate the consistency of speed from page to page on IRS Direct Pay. | |||||||||
6 | Please rate the ability to load pages without getting error messages on IRS Direct Pay. | |||||||||
Navigation (1=Poor, 10=Excellent, Don't Know) | ||||||||||
7 | Please rate how well IRS Direct Pay is organized. | |||||||||
8 | Please rate the options available for navigating IRS Direct Pay. | |||||||||
9 | Please rate how well IRS Direct Pay layout helps you find what you are looking for. | |||||||||
Look and Feel (1=Poor, 10=Excellent, Don't Know) | ||||||||||
10 | Please rate the visual appeal of IRS Direct Pay. | |||||||||
11 | Please rate the balance of graphics and text on IRS Direct Pay. | |||||||||
12 | Please rate the readability of the pages on IRS Direct Pay. | |||||||||
Tasks/ Transactions (1=Poor, 10=Excellent, Don't Know) | ||||||||||
13 | Please rate the simplicity of the process for completing task(s) on IRS Direct Pay. | |||||||||
14 | Please rate the clarity of instructions for completing task(s) on IRS Direct Pay. | |||||||||
15 | Please rate the verification of task completion on IRS Direct Pay. |
Model Instance Name: | |||||||||||
IRS ACH | underlined & italicized: RE-ORDER | ||||||||||
MID: | pink: ADDITION | ||||||||||
Date: 11/01/2013 | blue + -->: REWORDING | ||||||||||
IRS ACH 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 | ||
What is your age? | 16-21 | Drop down, select one | S | N | Age | ||||||
22-35 | |||||||||||
36-50 | |||||||||||
51-65 | |||||||||||
Above 66 | |||||||||||
Prefer not to respond | |||||||||||
What is your gender? | Male | Drop down, select one | S | N | Gender | ||||||
Female | |||||||||||
Prefer not to respond | |||||||||||
What is your income level? | Under $30,000 | Drop down, select one | S | N | Income | ||||||
$30,000-$50,000 | |||||||||||
$50,0000-$80,000 | |||||||||||
$80,000-$120,000 | |||||||||||
Above $120,000 | |||||||||||
Prefer not to respond | |||||||||||
Is this your first time using IRS Direct Pay? | Yes | Radio button, one-up vertical | S | Y | First time | ||||||
No | |||||||||||
What features or benefits prompted you to use IRS Direct Pay? | Online payment option | Checkbox, one-up vertical | M | Y | Features | ||||||
No fees | |||||||||||
No registration | |||||||||||
All of the above | |||||||||||
None of the above | |||||||||||
Other | |||||||||||
Did you previously use an alternative method to submit payments to the IRS? | Yes | A | Radio button, one-up vertical | S | Y | Alternate method | |||||
No | |||||||||||
A | Which of the following methods did you use? | Paper process | Checkbox, one-up vertical | M | Y | Methods | |||||
Online Credit Card Payment | |||||||||||
EFTPS | |||||||||||
Other | |||||||||||
Would you use IRS Direct Pay in the future? | Yes | Radio button, one-up vertical | S | Y | Use again | ||||||
Not sure | |||||||||||
No | |||||||||||
How easy it was to complete your payment transaction today? | Very easy | Radio button, one-up vertical | S | Y | Ease of transaction | ||||||
Somewhat easy | |||||||||||
Somewhat difficult | A | ||||||||||
Very difficult | A | ||||||||||
No opinion | |||||||||||
A | Please tell us what prevented you from completing your transaction today. | Text area, no char limit | N | Incomplete transaction | |||||||
From the following list, please tell us what additional services would you like to have within IRS Direct Pay? | Save your bank account information for easier future payments | Checkbox, one-up vertical | M | Y | Additional services | ||||||
Look up your payment history | |||||||||||
View your outstanding payment balance due to the IRS | |||||||||||
Other, please specify | A | ||||||||||
A | Please tell us what other additional service would you like to have within IRS Direct Pay. | Text area, no char limit | N | Other service | |||||||
How likely are you to call customer service as a result of your visit today? | 1=Very Unlikely | Radio button, scale, has don't know | S | Y | Customer service | ||||||
2 | |||||||||||
3 | |||||||||||
4 | |||||||||||
5 | |||||||||||
6 | |||||||||||
7 | |||||||||||
8 | |||||||||||
9 | |||||||||||
10=Very Likely | |||||||||||
Don’t know | |||||||||||
If you could improve one thing within IRS Direct Pay service, please tell us what that would be? | Text area, no char limit | N | Improvement |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |