Enclosure 5

Enclosure 5 2016 CT Mobile Experience Questionnaire.docx

Generic Clearance for Questionnaire Pretesting Research

Enclosure 5

OMB: 0607-0725

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Mobile Phone or Tablet Use

Instructions: Please answer the following questions about your mobile phone or table use experiences.

  1. Do you own a smartphone (such as iPhone, Android, Blackberry) or tablet (such as iPad, Galaxy, etc.)?

O Yes, smartphone

O Yes, tablet

O Yes, smartphone and tablet

O No, neither

  1. Thinking abou the smartphone that you use most frequently, how long have you owned that smartphone?

_____ year _____ month

  1. How long (in years and / or months) have you ever used a smartphone?

_____ year _____ month

  1. On average, how many total hours per week do you use your smartphone to access the Internet?

_______ hours per week

  1. How comfotable are you using your smartphone to use the Internet?

O Very comfortable

O Comfortable

O Neither comfortable nor uncomfortable

O Uncomfortable

O Very uncomfortable



  1. Do you have a desktop or laptop computer?

O Yes

O No

(If yes to Q6)

6a. What types of things do you do on your mobile device that you don’t do on your desktop or laptop?



  1. During the last year, how many times did you complete a survey using your smartphone?



________ times



  1. Not including email, how comfortable are you with providing personal information on Internet forms using your smartphone?

O Very comfortable

O Comfortable

O Neither comfortable nor uncomfortable

O Uncomfortable

O Very uncomfortable














File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTemika Holland
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File Created2021-01-28

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