Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire

Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire

BC1294 Changes 12-2011

Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire

OMB: 0607-0404

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Changes to the

BC-1294, Field Representative Exit Questionnaire



Global Change: Replace “SFR” with “first line supervisor”


Page 2


Change the expiration date of the OMB control number, in the introductory paragraph, to reflect the new expiration date.


Question 1

Option 6 should read: “6 years to less than 10 years go to 3”

Option 7 should read: “10 years or more – go to 3”



Question 2


Replace question 2 with the following and renumber questions 3-7.


New Q2: “Before you were hired, you conducted a Mock Interview during the interview phase of the FR testing process. Do you feel the Mock Interview gave you a complete picture of the job of a Field Representative?” (Mark (X) one box)

  • Yes

  • No – please explain: ____________________________________



(Old Q2) New Question 3


(Old Q3a/b) New Question Q4a/b

Q4a/option 1: change “Yes - go to 3b” to “Yes - go to 4b

Q4a/option2: change “No – go to 4a” to “No – go to 5a

Q4a/option3: change “Don’t know/Don’t remember - go to 4a” to “Don’t Know/Don’t remember - go to 5a


(Old 4a/b) New Question 5a/b

Q5a/option 1: change “Yes – go to 5” to “Yes – go to 6

Q5a/option 2: change “No – go to 4b below” to “No – go to 5b below”


(Old Q5) New Question 6

Q6j: Replace “Other” with “NAMCS (National Ambulatory Medical Care Survey)”

Add Q6k: “NHAMCS (National Hospital Ambulatory Medical Care Survey)”

Add Q6l: “Otherspecify


(Old Q6) New Question 7a

(Old Q7) New Question 7b

Section 2 – REASONS FOR TURNOVER

Page 3


Q8 option A: Replace “AUTOMATION: HARDWARE PROBLEMS” with

New option A. AUTOMATION

A1. Hardware problems – specify Yes No

A2. Software problems – specify Yes No

A3. Did not like using laptop Yes No

A4. Other – specify Yes No


Q8 option B: Replace “AUTOMATION: SOFTWARE PROBLEMS” with

New option B. BENEFITS (Health, Life, Retirement, Leave)

b1. Not enough coverage provided Yes No

b2. Cost too much Yes No

b3. Unreasonable criteria to qualify/takes too long to qualify Yes No

b4. Other – specify Yes No


Q8 option C: Replace “BENEFITS: INADEQUATE” with

New option C. HOURS

c1. Wanted more hours Yes No

c2. Wanted less hours Yes No

c3. Wanted a full time job Yes No

c4. Disliked working nights, weekends, holidays Yes No

c5. Other – specify Yes No


Q8 option D: Replace “BEFEFITS: COST TOO MUCH” with

New option D. NATURE OF THE JOB

d1. Worked in unsafe neighborhoods Yes No

d2. Disliked working alone Yes No

d3. No chance for advancement Yes No

d4. Disliked interviewing (personal visit & telephone) Yes No

d5. Disliked traveling Yes No

d6. Other – specify Yes No


Q8 option E: Replace “BENEFITS: COST TOO MUCH” with

New option E. PAY

e1. Pay per hour was too low – go to 9a Yes No

e2. Supervisor would not approve overtime Yes No

e3. Mileage and expense reimbursement was insufficient Yes No

e4. Other – specify Yes No







Q8 option F: Replace “HOURS” with

New option F. PERFORMANCE

f1. Too much pressure to improve response rates Yes No

f2. Too much pressure to improve production rates Yes No

f3. Too difficult to meet deadlines Yes No

f4. Too much pressure to improve quality Yes No

f5. Unfair appraisal Yes No

f6. Other – specify Yes No


Q8 option G: Replace “NATURE OF THE JOB” with

New option G. PERSONAL

g1. Health problems (personal and/or family) Yes No

g2. Conflicted with other personal/family obligations Yes No

g3. Got new job/conflicted with other employment Yes No

g4. Went back to school/conflicted with school schedule Yes No

g5. Lack of transportation Yes No

g6. Other – specify Yes No


Q8 option H: Replace “PAY” with

New option H. RESPONDENTS

h1. Disliked interacting with hostile/unfriendly people Yes No

h2. Disliked trying to convince people to participate Yes No

h3. Difficult to find someone at home to interview Yes No

h4. Other – specify Yes No


Q8 option I: Replace “PERFORMANCE” with

New option I. RO REALIGNMENT

i1. New structure made my job more difficult

to do – go to 10a Yes No

i2. New supervisor (FS) was too demanding /

difficult to work for Yes No

i3. FS did not have enough time for me/my questions Yes No

i4. FS could not adequately answer my questions Yes No

i5. FS increased/decreased my workload Yes No

i6. FS gave me new/different surveys to work on Yes No

i7. FS was too involved in how I do my work /

felt micro-managed Yes No

i8. Other – specify Yes No


Q8 option J: Replace “PROBLEMS WITH RESPONDENTS” with

New option J. SECURITY

j1. Data security procedures were too burdensome Yes No

j2. Increased pressure to safeguard the laptop Yes No

j3. Increased pressure to protect PII and Title 13 data Yes No

j4. Other – specify Yes No

Q8 option K: Replace “SUPERVISOR/OFFICE STAFF” with

New option K. SUPERVISOR

k1. Did not provide the support I needed Yes No

k2. Too demanding Yes No

k3. Difficult to work with Yes No

k4. Other – specify Yes No


Q8 option L: Replace “SURVEY/SURVEY QUESTIONS” with

Revised option L. SURVEY/SURVEY QUESTIONS

l1. Disliked asking personal/sensitive questions – go to 11 Yes No

l2. Thought survey(s) was/were too long Yes No

l3. Didn’t believe respondent data was kept confidential Yes No

l4. Other – specify Yes No


Q8 option M: Replace “WORKLOAD/ASSIGNMENTS” with

New option M. TRAINING

m1. Initial training was overwhelming Yes No

m2. Training did not prepare me for the job Yes No

m3. Not enough refresher training Yes No

m4. Too many different training materials Yes No

m5. Other – specify Yes No


Q8 option N: Replace “PERSONAL” with

New option N. WORKLOAD/ASSIGNMENTS

N1. Workload was too light Yes No

N2. Workload was too heavy Yes No

N3. Locations were too dispersed Yes No

N4. Did not like working on multiple surveys Yes No

N5. Other – specify Yes No


Q8 option O: Delete “TRAINING”

Q8 option P: Delete “SECURITY AND CONFIDENTIALTIY”


Page 4


Delete Question 9


(Old Q10a/10b) new Q9a/9b: Change instructions in box to read: Ask question 9a and question 9b only if question 8E(e1) was answered “Yes.”






Add instructions for Q10a: Ask question 10a only if question 8I (option i1) was answered “Yes.”

New Q10a: You reported that the realignment made it more difficult for you to do your job. Please tell me how the realignment made your job more difficult. (Do not read the list. Mark “yes” or “no” for each reason that best describes the response given by the FR. When the response is too broad/general, probe to clarify and/or explain so you can check the appropriate box. )

  1. It took too long to get respondent letters/materials and supplies Yes No

  2. It took too long to get answers to questions Yes No

  3. When the FS was not available, I had to wait to get help Yes No

  4. The new RO changed the performance measures/standards Yes No

  5. The new RO changed the survey response/production rates Yes No

  6. Other – specify Yes No


Add instructions for Q10b: Ask question 10b only if question 8I (option i4) was answered “Yes.”

New Q10b: “You reported that your Field Supervisor’s inability to adequately answer your questions was a reason/the reason why you left your job. What did you ask your FS about that he/she could not adequately answer? (Do not read the list. Mark “yes” or “no” for each reason that best describes the response given by the FR. When the response is too broad/general, probe to clarify and/or explain so you can check the appropriate box. )

  1. Your workload Yes No

  2. Survey concepts or procedures Yes No

  3. A difficult respondent Yes No

  4. Respondent letters Yes No

  5. Problem referrals Yes No

  6. Automation Yes No

  7. Payroll Yes No

  8. Leave Yes No

  9. Safety issues Yes No

  10. Supplies and materials Yes No

  11. PII and confidentiality Yes No

  12. Personal matters Yes No

  13. Other – explain: ____________________ Yes No



Revise instructions in box for Q11: Ask question 11 only if question 8L (option l1) was answered “Yes.”

Q15: Replace question with – “The next set of questions asks about your experiences with your first line supervisor. Although you may have had more than one supervisor, think about the supervisor you had during the last six months you were working for the Census Bureau. In general, would you say you were very satisfied, somewhat satisfied, somewhat dissatisfied or very dissatisfied with…” (Please read each item. Circle one response for each item.)







Page 5


Q18 renumber as Q18a: Question should read “To what extent did the amount of contact you had with your first line supervisor impact your decision to leave the Census Bureau? Did the amount of contact with your supervisor have a little, a lot, or no impact on your decision to leave?” (Mark (X) one box only.)

Q18 option 1: should readA littlego to 18b

Q18 option 2: should read “A lot go to 18b

Q18 option 3: No impact


Add new Q18b: How did the amount of contact you had with your first line supervisor impact (either a little or a lot) your decision to leave? (Please explain below.)

________________________________________________________________________________________________________________________________________________­­­­­­­____________

Question 19: Change “For each task, please tell if the training…” to read “For each task, please tell me if the training you received…”


Add four new tasks to Q19 each with response choices:

1= Outstanding

2 = Very Good

3 = Good

4 = Fair

5 = Poor


Add Q19 option l: Using ALMI (Address Listing and Mapping Instrument)

Add Q19 option m: Resolving address and listing problems

Add Q19 option n: Using CHI (Contact History Instrument)

Add Q19 option o: Using GPS (Global Positioning System)



Page 6


Q20 option f: Change” My immediate supervisor…” to read “My first line supervisor…”


Q21b: Replace “Is your current job as an interviewer?” with “Are you currently working as an interviewer?”


Q21c: Replace “Is this job a part-time or full-time job?” with “Is your current job a part-time or full-time job?”


Q22 option 2: replace “No” with “No – explain

6


File Typeapplication/msword
File TitleChanges to the BC-1294, Field Representative Exit Questionnaire
Authormoul0300
Last Modified Bymoul0300
File Modified2012-04-27
File Created2011-12-05

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