Step
|
Qnum
|
Prompt
Text
|
Response
Categories
|
Skips
|
0
|
|
Please
press the star key when you are ready to take the survey.
|
Star
key
|
Go
to step 1
|
1
|
|
Thank
you for participating in this voluntary survey. This survey is
being conducted by EurekaFacts, an independent, third-party
organization, to assist the IRS in improving its services. Your
identity will remain anonymous to the IRS. Your information will
be
combined with all others who take the survey and will be shared
only in total with the IRS.
It will take less than 5 minutes to complete. During this survey
you will be asked to rate the service you received from the IRS on
your recent visit to obtain tax forms and publications.
|
|
Go
to step 2
|
2
|
1
|
For
our first question - Everything considered, rate your overall
satisfaction
with obtaining IRS tax forms and publications.
|
[Satisfaction
1-5, 9 scale]
Press
5 for very satisfied
Press
4 for somewhat satisfied
Press
3 for neither satisfied nor dissatisfied
Press
2 for somewhat dissatisfied
Press
1 for very dissatisfied
If
you are not sure, press 9
|
Go
to step 3
|
3
|
2
|
What
form or publication did you visit the IRS office to obtain?
|
[WAV
Capture]
|
Go
to step 4
|
4
|
3
|
During
your visit to the local IRS office, did the forms rack have the
forms and publications you were looking for?
|
[Yes
1, No 2]
|
If
1, Go to step 6
If
2, Go to step 5
|
5
|
4
|
Because
the form or publication you were searching for was unavailable
what was your next step?
|
Ask
an IRS employee at the local office for help
Come
back to the local IRS office to check again
Go
on IRS.gov and print off the form
Call
the IRS Toll-Free line to request the form
Contact
a tax professional
Use
tax software
Visit
a library
Other
|
Go
to step 6
|
6
|
5
|
During
your visit to the IRS office to obtain forms or publications did
you have to ask someone for assistance to find the form or
publication you were looking for?
|
[Yes
1, No 2]
|
Go
to step 7
|
7
|
6
|
Was
this your first time visiting a local IRS office to obtain IRS
forms or publications?
|
[Yes
1, No 2]
|
If
1, Go to step 9
If
2, Go to step 8
|
8
|
7
|
If
this was not your first time, how many times have you visited a
local IRS office to obtain IRS forms or publications in the past
year?
|
[Numeric
amount entered and verified]
|
Go
to step 9
|
9
|
8
|
Why
did you decide to travel to a local office to obtain an IRS form
or publication rather than some other method?
|
[WAV
Capture]
|
Go
to step 10
|
10
|
9
|
Are
you aware that you can obtain IRS forms and publications online at
the IRS.gov website?
|
[Yes
1, No 2]
|
If
1, Go to step 11
If
2, Go to step 12
|
11
|
10
|
Did
you try to obtain the needed IRS forms or publications on the
IRS.gov website prior to visiting the local office?
|
[Yes
1, No 2]
|
Go
to step 12
|
12
|
11
|
Have
you ever used an electronic version of any federal tax form or
publication from the IRS website?
|
Yes
No
|
Go
to step 13
|
13
|
12
|
What
category describes your current age?
|
18
to 24 years
25
to 34 years
35
to 44 years
45
to 54 years
55
to 64 years
65
to 74 years
75
to 84 years
85
years and over
|
Go
to step 14
|
14
|
13
|
What
is the highest level of education you have completed?
|
Less
than 9th grade
9th
grade to 12th grade, no diploma
High
school graduate (or GED)
Some
technical or vocational school
Technical
or vocational school graduate
Some
college, no degree
Associate
Degree
Bachelor
Degree
Master
Degree
Post-Master
Degree
|
Go
to step 15
|
15
|
14
|
What
category best describes your household income from all sources?
|
Less
than $15,000
$15,000
but less than $25,000
$25,000
but less than $35,000
$35,000
but less than $50,000
$50,000
but less than $75,000
$75,000
but less than $100,000
$100,000
or more
|
Go
to step 16
|
16
|
15
|
The
IRS has asked EurekaFacts to do additional research on tax form
and publication usage. We need to find respondents for this
research. Would you be willing to participate in future research?
If so, please provide us with your phone number and email address
if you have one. This information will be anonymous to the IRS
and used only for the purpose of survey research. Research
participants may receive a small monetary incentive to participate
depending on the research project.
|
If
you would like to participate, press 1.
If
you do not want to participate, press 2.
|
If
1, go to step 17
If
2, go to step 21
|
17
|
16
|
Please
enter your 10-digit telephone number, including area code.
|
[Enter
10 digits]
|
Go
to step 18
|
18
|
17
|
You
entered: (XXX) XXX-XXXX
|
If
this is correct, press 1.
To
re-enter, press 2.
|
Go
to step 19
|
19
|
18
|
Please
state and spell your name. Press any key when you are finished.
|
If
this is correct, press 1.
To
re-enter, press 2.
|
Go
to step 20
|
20
|
19
|
Please
state and spell your e-mail address. Press any key when you are
finished.
|
[WAV
Capture]
-
|
Go
to step 21
|
21
|
|
That
completes the survey; however, we are required by law to report to
you the OMB Control Number for this public information request.
That number is 1545-1432. In addition, if you have any comments
about the time used to complete this survey or ways to improve the
survey, you may write to the IRS.
|
|
Go
to step 22
|
22
|
|
Would
you like the address to mail your comments?
|
If
Yes, press 1
If
No, press 2
|
If
1, go to step 22
If
2, go to step 24
|
23
|
|
Mail
your comments to:
Internal
Revenue Service
Tax
Products Coordinating Committee
1111
Constitution Ave, NW, Room 6510-S
Washington,
DC 20224
|
To
repeat this address, press 1.
Otherwise,
press 2.
|
Go
to step 24
|
24
|
|
Thank
you for participating in this survey. Your information will help
improve the services provided by the IRS. On behalf of the IRS and
EurekaFacts, thank you. Goodbye.
|
|
|
Please
take a brief survey to share your opinions and thoughts about
obtaining IRS forms, instructions, and publications at local IRS
offices. The survey is voluntary and will take less than 5 minutes.
You
may access the survey either by phone at: 1-800-XXX-XXXX or
online at: www.surveyproducts/XXXX
