ATTACHMENTS
Approval Request to Conduct Cognitive & Psychological Research
Pretesting of W&I Taxpayer Experience Survey (TES) 2015
W&I Taxpayer Experience Focus Groups 2015
FINAL
CONSENT [DISPLAY]
In an effort to improve its services, The Internal Revenue Service (IRS) is asking customers about their experiences and opinions. Your responses will help the IRS reduce the burden on the average taxpayer when preparing and filing taxes and help identify ways to improve IRS services for taxpayers.
The survey takes about 60 minutes to complete. This is an opinion survey about YOUR experiences in preparing and filing your taxes. Please complete the questions even if you used a tax professional to help prepare your return(s). We need input from a cross-section of individual taxpayers to get a true picture of what Americans think, not just what "experts" say.
This survey is conducted for the IRS by an independent national research organization, Pacific Consulting Group. Your answers are anonymous and no personal identifying information will be released to the IRS. If you have any questions about this survey, please contact Pacific Consulting Group at 1-866-960-7897.
The OMB Control Number for this study is 1545-1349. Also, if you have any comments regarding the time estimates associated with this study or suggestions on making this process simpler, please contact the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224.
Thank you in advance for your participation!
S1: What language do you usually speak at home?
1 Only Spanish
2 More Spanish than English
3 Both Spanish and English equally
4 More English than Spanish
5 Only English
6 Neither Spanish nor English
[PROGRAMMING: ENSURE CORRECT LANGUAGE OFFERED TO RESPONDENTS BASED ON PANEL DATA]
1 English
2 Spanish
[SC, PROMPT, TERMINATE IF SKIPPED]
S1a. Did you or your spouse file a Federal Income Tax Return in 2014 for income earned in 2013?
1 Yes, I or my spouse filed a federal tax return
2 No, neither I nor my spouse filed a federal tax return
3 Not sure/Refused
[SC, IF S1A = 2, 3, PROMPT, TERMINATE IF SKIPPED]
S1c. Did you not file a federal income tax return in 2014 for 2013 taxes because you….
1 Got an extension
2 Were under the income limit for filing
3 Were a dependent of someone outside the household
4 Something else (Specify)____________________
5 Not sure
6 Did file federal tax return
[IF S1C = 5, TERMINATE]
[IF S1C = 1 thru 4, TAG AS “NON-FILER”]
“NON-FILERS” SKIP TO Q1a
PLEASE NOTE: “NON-FILERS” SKIP SECTIONS III and IV
[SC, PROMPT, TERMINATE IF SKIPPED]
S2. Would you say that you are the adult in your household who is most familiar with the preparation and filing of your 2013 federal income tax return [IF XSPANISH = 2 ‘and your preferred language is Spanish’]?
1 Yes, most familiar
2 Equally familiar
3 Not most/equally familiar [TERMINATE]
[SC, PROMPT, TERMINATE IF SKIPPED]
S3. Who prepared your taxes?
I (myself, with or without software)
A friend or family member (relative)
The IRS
A volunteer preparer from a community organization (do not count a tax software company’s promotional events)
An independent accountant/CPA
H&R Block
Jackson Hewitt
Other paid professional [IF XSPANISH = 2, SHOW ‘Notario’]
Someone else
Don’t know [TERMINATE]
[SC, PROMPT, TERMINATE IF SKIPPED]
S4. Which of the following was the filing status you used on your 2013 tax return?
1 Single
2 Married, filing jointly
3 Married, filing separately
4 Head of Household (single with dependent parent or child)
5 Qualifying widow(er) with dependent child
6 Don’t know [TERMINATE]
[SC, GRID]
S6a. Which of the following forms and schedules were filed with your 2013 return? Did you file a:
1—Yes 2—No 3—Don’t Know
Schedule A for itemized deductions including home mortgage deductions, charitable contributions, and other types of deductions
Forms related to Earned Income Tax Credit (EITC/EIC) (e.g., Schedule EIC, series 886 forms)
Schedule B for interest and dividend income
Schedule C for small business income
Schedule D for capital gains or losses
Schedule E for supplemental income, such as rental income, royalties, and trusts
Schedule F for farm income
Form 2106 employee business expenses
Forms related to partnerships or S Corp (e.g., 120, 1120s, 1065) [TERMINATE IF SELECTED]
I. AWARENESS AND IRS INTERACTIONS IN PAST 12 MONTHS
AWARENESS
[SC, GRID]
Q1a. The following questions are about your awareness of different ways to contact the IRS.
Are you aware that you can get information or help such as obtaining forms or tax law information, checking refund status or getting help to resolve a notice from the IRS in the following ways?
Please select one answer from each row.
1—Yes 2—No
Calling an IRS Toll-Free line
Visiting a local IRS office (Taxpayer Assistance Center, walk-in center)
Visiting the IRS website (www.IRS.gov)
Sending regular mail to the IRS
E-mailing the IRS
Getting help from a volunteer tax preparer from a community organization
Using IRS2Go App (for smartphone or tablet mobile device)
[SC, GRID]
Q1a.a Are you aware that the IRS provides some general tax information via the following social media channels?
1—Yes 2—No
IRS videos on YouTube
IRS tweets on Twitter
IRS posts on Facebook
IRS posts on Tumblr
Q1a.b (Show YES items in Q1a.a) Have you looked for general tax information via the following social media channels provided by the IRS? 1—Yes 2—No
IRS videos on YouTube
IRS tweets on Twitter
IRS posts on Facebook
IRS posts on Tumblr
[SC, GRID, IF Q1A_3=YES, AWARE OF IRS.GOV]
Q1a.1 Which of the following IRS.gov (online) services/tools are you aware of?
1—Yes 2—No
[PROGRAMMER: Rotate list...]
Electronic Federal Tax Payment System (EFTPS) (allows taxpayers to transmit regular tax payments electronically)
Electronic Filing PIN Request (to get a PIN to use to “sign” your tax return when you file it electronically)
Interactive Tax Assistant (ITA) (helps you answer a question like “How many exemptions can I claim?” by asking you a series of questions that guide you to a response tailored to your situation)
IRS Withholding Calculator (helps you determine the number of withholdings you ask your employer to take on your W-4)
Online Employer Identification Number (EIN)
Online Payment Agreement (OPA)
Tax Exempt Charity Search
Tax Trails (helps you answer a question like “Do I qualify for a filing extension” by asking you a series of questions that guide you to a response tailored to your situation)
Where's My Refund?
Where’s My Amended Return?
Get Transcript Online
Get Transcripts by Mail (online ordering of transcript or prior year return sent to you in the mail)
Earned Income Tax Credit (EITC) Hot Topic link
EITC Assistant (helps taxpayers determine EITC eligibility)
[SC,GRID, SHOW and ASK categories if YES in Q1a.1]
Q5c Which of the following services/tools on the IRS website did you use during the 2014 filing season?
1—Yes 2—No
Electronic Federal Tax Payment System (EFTPS)
Electronic Filing PIN Request
Interactive Tax Assistant (ITA)
IRS Withholding Calculator
Online Employer Identification Number (EIN)
Online Payment Agreement (OPA)
Tax Exempt Charity Search
Tax Trails
Where's My Refund?
Where’s My Amended Return?
Get Transcripts Online
Get Transcripts by Mail (online ordering of transcript or prior year return sent to you in the mail)
Earned Income Tax Credit Hot Topic link
Earned Income Tax Credit Assistant (helps taxpayers determine EITC eligibility)
Other
[SC, GRID, IF XSPANISH = 2]
Q1b. Are you aware that you can get information or help such as finding forms or tax law information, checking refund status or getting help resolving a notice from the IRS in the following ways in Spanish?
1—Yes 2—No
1 Calling an IRS Toll-Free line and getting assistance in Spanish
2 Visiting a local IRS office (Taxpayer Assistance Center, walk-in center) and getting assistance in Spanish
3 Visiting the Español section of the IRS website
4 Sending regular mail to the IRS in Spanish
5 Spanish speaking volunteer preparers from a community organization
6. Where’s My Refund
7. Using IRS2Go App (for smartphone or tablet mobile device)
[SC, IF XSPANISH = 2]
Q1b.1 Are you aware that the IRS provides some general tax information in Spanish via the following social media and television channels?
1—Yes 2—No
INTRO1 [IF A “YES” RESPONSE TO Q1a_a thru Q1a_e or YES to Q1b_a thru Q1b_d, DISPLAY]
The next questions are about any contact you may have had with the Internal Revenue Service (IRS) in the past 12 months, including actively using the IRS website to obtain information. [IF XSPANISH = 2: ‘Please include all contacts regardless of whether they were in Spanish or English’]
[IF A “YES” RESPONSE TO Q1a_a thru Q1a_e or YES to Q1b_a thru Q1b_d, SC, GRID]
Q2. In the past 12 months, did you contact the IRS for any reason, using any of the following methods?
Select one answer from each row in the grid
1—Yes 2—No
2a [ASK IF Q1a_a=Yes or Q1b_a=Yes] Call an IRS Toll-Free line
2b [ASK IF Q1a_b=Yes or Q1b_b=Yes] Visit a local IRS office (Taxpayer Assistance Center, walk-in center)
2c [ASK IF Q1a_c=Yes or Q1b_c=Yes] Actively visit the IRS website to obtain specific information. Please do not count casual browsing.
2d [ASK IF Q1a_d=Yes or Q1b_d=Yes] Contact the IRS through regular mail
2e [ASK IF Q1a_e=Yes] Email the IRS
2f [ASK IF Q1A_F=YES OR Q1B_E=YES] Get help from a volunteer tax preparer from a community organization
2g [ASK IF Q1A_F=YES] Use the IRS2Go App (for smartphone or tablet mobile device)
[ASK if all of Q2a to Q2g=NO]
Q2n1. In the past 12 months, did you need assistance with any of the following tax related issue?
Getting a form or publication
Transcripts or prior year tax return information
Tax law information while preparing my return such as information on withholding, dependents, deductions, or tax credits
Getting help with tax return preparation such as which forms to file, record keeping, filling out forms, how to file or how to get more help
Getting help making tax-related calculations (e.g., calculating withholdings, calculating sales tax deductions, determining Earned Income Tax Credit (EITC) eligibility,)
An IRS notice — notices are mailed letters about issues such as balance dues, overpayments, underpayments, information about tax credits or requests for more information
Tax law information after filing my tax return to help me clarify the tax process or remain/become compliant such as information about estimated taxes (do not count contacts about IRS notices)
Identity theft
Filing a tax return or form
Making a payment
Getting information about making payments
Getting information about a refund
Obtaining Individual or Employer Tax ID (ITIN, EIN)
Getting information about the Affordable Care Act (the new healthcare law)
Other, specify [if “Other” selected and nothing entered in blank, prompt once]
[PHONE ONLY] Did not need assistance/None of the above [INSTRUCTION: only read if no other options selected]
[For each issue indicated ask respondent in Q2n1, Ask Q2n2 &Q2n3]
Q2n2. What was the first information source you used in order to [INSERT Q2n1]?
1 A friend or family member
2 Volunteer tax preparation site
3 Tax preparation company
4 A tax professional
5 Accountant/bookkeeper
6 Non-IRS book or publication
7 Non-IRS Website
8 Non-IRS Social Media
9 Tax software
10 Other (please specify)
Q2n3. What reasons best describe why you didn’t contact the IRS about this issue (select all)?
[rotate list]
1 I did not need to contact the IRS/I could handle the issue on my own
2 I got help from a friend or family member
3 I got help from my tax preparer/accountant/lawyer
4 I don’t know how to contact the IRS
5 It’s hard to contact the IRS
6 I don’t trust the IRS to act in my best interest (fair enforcement)
7 I don’t trust the IRS to help me understand my issue
8 I don’t understand my issue well enough to work with the IRS alone
9 [PHONE ONLY] Other
Q16o. [if any of Q2a to Q2g=YES]
For what reasons have you contacted the IRS in the past 12 months?
Open End _____________________________________
[PROGRAMMING: SKIP TO SECTION III IF NONE Q2a thru Q2g is yes (all are no)]
ALL QUESTIONS IN THE LOOP are required. (Q16 to Q16F)
[SC]
Q16 You mentioned that you have contacted the IRS in the past 12 months. Contacting the IRS includes calling an IRS Toll-Free line, visiting a local IRS office (Taxpayer Assistance Center, walk-in center), visiting the IRS website (not casual browsing), contacting the IRS through regular mail, emailing the IRS, or using the IRS2Go App. For which of the following reasons have you contacted the IRS in the past 12 months?
Get a form or publication
Get transcripts online or by mail
Get help with tax law while preparing my return such as information on withholding, dependents, deductions, or tax credits
Get tax return preparation help such as which forms to file, record keeping, filling out forms, how to file or how to get more help
Get help making tax-related calculations
Get information or assistance about an IRS notice — notices are mailed letters about issues such as balance dues, overpayments, underpayments, information about tax credits or requests for more information
Get tax law information after filing my tax return to help me clarify the tax process or remain/become compliant such as information about estimated taxes (do not count contacts about IRS notices)
Get information or assistance related to identity theft
File a tax return or form
Make a payment
Get information about making payments
Get information about a refund
Obtain Individual or Employer Tax ID (ITIN, EIN)
Get information about the Affordable Care Act (the new healthcare law)
Other, specify [if “Other” selected and nothing entered in blank, prompt once]
[BEGIN REASONS LOOP – A MAXIMUM OF THREE (3) REASONS WILL PROCEED THROUGH THE CHANNEL EXPERIENCE LOOP]
If a respondent selects more than 3 reasons:
Initial Preference is given to: 16_14 ACA
After this initial selection, then the REASON with the fewest respondents should be selected, until there are three total reasons.
[ASK IF Q16_14 LOOP (ACA) = YES]
Q81a. What service did you expect the IRS to provide regarding the Affordable Care Act?
[Open End]
[ASK IF Q16_14 LOOP (ACA) = YES]
Q81b. For which of the following reasons did you contact the IRS about the Affordable Care Act?
1 To learn about the tax credit (known as the Premium Tax Credit) designed to help individuals afford health insurance through the Marketplace
2 To learn about advance monthly payments of the Premium Tax Credit
3 To learn about the requirement for individuals to purchase health insurance
4 To learn about making a payment (known as the Individual Shared Responsibility Payment) to the IRS if individuals do not purchase health insurance
5 To learn about exemptions from the requirement to purchase health insurance
6 Other
[ASK IF Q16_8 LOOP (Identity Theft) = YES]
Q50a. What service did you expect the IRS to provide regarding identity theft?
[Open-ended]
[ASK IF Q16_8 LOOP (Identity Theft) = YES]
Q50b. Did the IRS issue you an Identity Protection Personal Identification Number (IP PIN)?
1 Yes
2 No
[ASK IF Q50b = YES]
Q50c. Did you use the Identity Protection Personal Identification Number (IP PIN) when filing your return this past filing season?
1 Yes
2 No
[ASK IF Q16_2 LOOP (Transcript) = YES]
Q51a. Did you need a transcript from the IRS because another party required it?
1 Yes
2 No
[ASK IF Q51a = YES]
Q51b. What type of business asked for a copy?
1 Mortgage
2 Education/FAFSA
3 Other (please specify)
[ASK IF Q51a = NO]
Q51c. What did you need the transcript for?
[Open End]
[ASK IF Q16_6 LOOP (IRS Notice) = YES]
[SC]
Q57. What was your most recent notice about?
Filing issue [IF Yes go to Q57A]
Error on return [IF Yes go to Q57B]
Payment [IF Yes go to Q57C]
Refund issue [IF Yes go to Q57C]
Request for information/proof for items on my tax return (correspondence exam)
Credits you might be eligible for but did not claim
Other (specify)
The purpose of the notice was not clear
Do not recall
[SC, IF Q57=1]
Q57a. Which of the following best describes the filing issue regarding your most recent notice?
Didn’t file a return
Didn’t sign return or form
Resubmitting/missing forms
Penalty for late filing
Other (specify)
[SC, IF Q57=2]
Q57b. Which of the following best describes the error on return regarding your most recent notice?
Under-reported income
Incorrect amount of withholding
Incorrect filing status
Incorrect Social Security Number
Claimed a credit for which I didn’t qualify
Other (specify)
[SC, IF Q57=2]
Q57b.1 Did this result in a refund or you owing money to the IRS?
Refund
Owed money to IRS
No change
[SC, IF Q57=3]
Q57c. Which of the following best describes the payment / refund issue regarding your most recent notice?
Didn’t make a payment with my return
Didn’t pay the full amount due with my return
Didn’t make an Installment Agreement payment
Received additional / larger refund
Other (specify)
[SC, If Q57b.1=2]
Q57b.2 You indicated earlier that your most recent notice said that you owed money to the IRS. Which of the following actions did you take to resolve your balance due notice? (Select one)
Paid the full amount owed to the IRS
Arranged for an Installment Agreement with the IRS
Arranged for an Offer In Compromise
None of the above
[LOOP COMMAND Q16a and Q16b – 1=first, 2= second, 3=third, etc.]
[Only show Option 3: Visited Healthcare.gov for Q16r14 = 1]
Q16a. What was the first information source you used in order to [INSERT Q16]?
1 IRS forms and instruction booklets [IF SELECTED,SKIP TO Q16b]
2 IRS Website (www.IRS.gov) [IF SELECTED,SKIP TO Q5 SET, THEN SKIP TO Q16b]
3 Visited Healthcare.gov
4 IRS2GO App [IF SELECTED,SKIP TO Q14b, THEN SKIP TO Q16b]
5 IRS Social Media (e.g., Facebook, YouTube, Twitter, Tumblr) [IF SELECTED,SKIP TO Q16b]
6 IRS Tax Assistance Center (walk-in sites) [IF SELECTED,SKIP TO Q4 SET, THEN SKIP TO Q16b]
7 Automated IRS phone system [IF SELECTED,SKIP TO Q16b]
8 IRS phone representative [IF SELECTED,SKIP TO Q3 SET, THEN SKIP TO Q16b]
9 Email with the IRS [IF SELECTED, SKIP TO Q16b]
10 Written correspondence through mail with the IRS [IF SELECTED,SKIP TO Q6 SET, THEN SKIP TO Q16b]
11 A friend or family member [IF SELECTED,SKIP TO Q16b]
12 Volunteer tax preparation site [IF SELECTED,SKIP TO Q16b]
13 Tax preparation company [IF SELECTED,SKIP TO Q16b]
14 A tax professional [IF SELECTED,SKIP TO Q16b]
15 Accountant/bookkeeper [IF SELECTED,SKIP TO Q16b]
16 Non-IRS book or publication [IF SELECTED,SKIP TO Q16b]
17 Non-IRS Website [IF SELECTED,SKIP TO Q16b]
18 Non-IRS Social Media [IF SELECTED,SKIP TO Q16b]
19 Tax software [IF SELECTED,SKIP TO Q16b]
20 Other (please specify) [IF SELECTED,SKIP TO Q16b]
CHANNEL EXPERIENCE
Toll –Free Section
[SC, IF XSPANISH = 2]
3s1. Have you called the IRS Español Toll-Free Line?
Yes (Continue)
No
[IF Q2A = YES , SC]
[Should appear only when Q2A=YES. Currently appears even when respondent said didn’t contact TF]
Q3e. Did you hang up before speaking with an IRS representative?
1 Yes
2 No
[IF Q3E = 1, MC]
Q3g. What were your reasons for hanging up?
1 Kept getting a busy signal
2 Placed on hold too long
3 Kept getting transferred
4 Couldn’t understand the menu system
5 Too many choices to listen to on the menu system
6 Recorded message suggested going to IRS.gov
7 Other
[IF Q2A = YES, SC]
Q3h. Were you transferred more than once when you called?
1 Yes
2 No
3 Don’t know/Not sure
[IF Q3e=2, SC]
Q3i. How well did you understand the information that was provided to you?
Not at all
Not very well
Somewhat
Very well
[SC, IF Q2A = YES]
Q3k1a. Were all of your questions answered?
Yes
No
[SC]
Q4c1. How well did you understand the information that was provided to you?
Not at all
Not very well
Somewhat
Very well
[SC]
Q4d1a. Were all of your questions answered during your visit?
Yes
No
[SC, IF XSPANISH = 2]
Q4s1 Did you need assistance in Spanish when you visited a local IRS office (Taxpayer Assistance Center, walk-in center)?
1 Yes
2 No
[SC, IF Q4S1 = 1]
Q4s2 Did you receive assistance in Spanish?
1 Yes
2 No
[SC, IF XSPANISH = 2]
Q5s1A. When you used the IRS website to get information, did you use the Español section of the IRS website, the English section of the IRS website, or both?
1 Español only
2 English only
3 Both Español and English
[SC, IF XSPANISH=2 AND Q5S1 = 3]
Q5s2A. Which language section of the IRS website did you use more?
Español
English
About the same
[SC, IF XSPANISH=2 AND IF Q5a_9 = 1, ASK ONLY ONCE]
Q5s5. How satisfied were you with the “Where’s My Refund” tool on the IRS Español website?
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
[MC, IF XSPANISH=2 AND Q5S1 = 2, ASK ONLY ONCE]
Q5s7 What were the reasons you have not used the Español section of the IRS website?
1 I’m not aware of the Español section of website
2 I’m not aware that tax information is available in Spanish
3 Other (specify)____________________________
Q5e. Did you find the information you were looking for?
Yes
No
Partially
[SC, IF Q5E=1 or 3]
Q5f1. How well did you understand the information?
Not at all
Not very well
Somewhat
Very well
[TEXT BOX, IF Q5E=NO or Partially]
Q5e1. If you didn't find what you were looking for, what specific type of information were you trying to find?
Please specify ______________________________________________________________________
[SC]
Q6n1. How well did you understand the information that was provided to you by mail from the IRS?
Not at all
Not very well
Somewhat
Very well
Have not received a response from the IRS
[SC]
Q6c1a. Were all of your questions answered through mailing to IRS?
Yes
No
3 In process
[Only ask this question once per reason-during first contact]
Q16b. What was the reason that [Q16a] was your first choice in your effort to [Q16]?
Open End
Q16c. Did the [Q16a] resolve [Q16] or did you need to go to another source?
Completely resolved – needed no further effort [CONTINUE to Q16d]
Needed to go to another source [LOOP TO Q16a]
[Phone Only: DO NOT READ] Left unresolved and did not go to another source [SKIP TO Q16f]
If after fifth choice and Q16c=Need to go to another source, ask Q16C_N and then go to the next REASON (if already on the 3rd REASON, skip to Q14a. )
Q16c_N . How did you resolve [Q16]?
[SC]
Q16d. For [Q16], how much time did it take for you to locate the information to resolve your issue?
Within 1 hour
Within 2-4 hours
Within 5-8 hours
Within 24 hours
Within 7 days
8-15 days
16-29 days
30-44 days
45-60 days
Over 60 days
[SC]
Q16e. What do you feel is a reasonable amount of time to resolve your issue?
Within 1 hour
Within 2-4 hours
Within 5-8 hours
Within 24 hours
Within 7 days
8-15 days
16-29 days
30-44 days
45-60 days
Over 60 days
[SC]
Q16f. Please rate your satisfaction with the following aspects of getting your information. [if Q16=1, change question text from “your information” to “the form or publication”]
How satisfied were you with:
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
Not applicable
The time it took to resolve your issue
The number of steps needed to obtain information you sought
The accuracy of the information you received
[LOOP COMMAND – RETURN TO Q16 FOR ADDITIONAL REASONS – ONCE REASONS ARE COMPLETED, PROCEED TO Q14A]
****LOOP ENDS HERE
[MC, ASKED OF ALL RESPONDENTS]
Q14a. In the future, how likely are you to perform the following tax-related activities using the IRS website (www.IRS.gov)? Assume that you have a need to perform each of these activities.
1=Very unlikely 2=Somewhat unlikely 3=Neither unlikely nor likely 4=Somewhat likely 5=Very likely
Get an IRS form or publication
Get information about completing a tax form
Find an answer to a tax law question
Determine eligibility for a tax benefit or whether certain requirements apply to me
Get help making tax-related calculations
Get help preparing a tax return or form
File a tax return or form
Set up a payment plan
Make a payment
Get information about a refund
Respond to a notice or letter received from the IRS
Get a transcript or prior year tax return information
Get information about the Affordable Care Act (the new healthcare law)
Something else (specify)_____________________
Q14b. In the future, how likely are you to perform the following tax-related activities using the IRS2Go App (for iPhone and Android mobile devices)? Assume that you have a need to perform each of these activities.
1=very unlikely 2=somewhat unlikely 3=neither unlikely nor likely 4=somewhat likely 5=very likely
Get an IRS form or publication
Get information about completing a tax form
Getting a transcript or prior year tax return information
Find an answer to a tax law question
Determine eligibility for a tax benefit or whether certain requirements apply to me
Get help making tax-related calculations
Get help preparing a tax return or form
File a tax return or form
Set up a payment plan
Make a payment
Get information about a refund
Respond to a notice or letter received from the IRS
Get information about the Affordable Care Act (the new healthcare law)
Something else (specify)_____________________
[SC]
Q15. If you needed your prior year federal tax return (e.g. transcripts) and were able to review it online through a secure link on the IRS website, how likely would you be to use this service? Would you be . . .
Very unlikely
Somewhat unlikely
Neither unlikely nor likely
Somewhat likely
Very likely
[MC, IF Q2C = NO AND Q2B = YES]
Q13a. What are the main reasons you visited a local office instead of visiting the IRS website to get information from the IRS?
It was easier to go to a local IRS office
I don’t have Internet access
I used local IRS offices before
I didn’t believe I could get my questions answered by using the IRS website
I did try to use the IRS website
I wasn’t aware of the IRS website
The letter I received from the IRS said to go to a local office
Something else (specify)
[MC, IF Q2C = NO AND Q2A = YES] Q13b. What are the main reasons you called an IRS Toll-Free line instead of visiting the IRS website to get information from the IRS?
I didn’t have Internet access
I called the Toll-Free line before
I didn’t believe I could get my questions answered by using the IRS website
I did try to use the IRS website
I wasn’t aware of the IRS website
The letter I received from the IRS said to call a telephone number
Something else (specify)
[MC, IF Q2D = YES AND Q2A=NO, AND Q2C = NO]
Q6c. What are the reasons that you contacted the IRS using regular mail instead of other channels such as the IRS website or an IRS Toll-Free line?
IRS required information be mailed to the agency
Am not aware that I could contact the IRS any other way
Never thought about contacting the IRS any other way
I didn’t have Internet access
Believe I couldn’t get information needed from IRS website
Believe I couldn’t get information needed from the IRS Toll-Free line
Believe I couldn’t get information from other IRS sources
Want paper trail
Other (specify)____________________
[SC, If yes to 2a, b, c, d, OR e]
Q9. Did you contact the IRS for any other reasons you have not mentioned?
Yes
No
[TXT, IF Q9 = 1]
Q9A What other reasons?________________________________________
PLEASE NOTE: “NON-FILERS” SKIP SECTIONS III and IV [Except two questions noted below]
[MC]
Q23b. [ASK TO FILERS AND NON-FILERS] In the future, where would you prefer to get general tax information, including information about changes in tax laws? Check all that apply.
IRS forms and publications
IRS website in English
IRS website in Spanish
IRS telephone contact
IRS in-person/local IRS office (Taxpayer Assistance Center, walk-in center)
IRS sponsored tax class or seminar
IRS2Go App (for iPhone and Android mobile device)
IRS (unspecified)
Accountant/tax preparer (H&R Block, Jackson Hewitt)
Employer/Union/Trade Organization
Family/Friend
Library
Media such as radio, television, or newspapers
[IF XSPANISH = 2] Notario
Non-IRS Books and Publications
Non-IRS website
Post Office
Social/community organization (church/religious group, theaters, community centers/outreach groups, schools)
Tax preparation software (TurboTax, TaxAct, etc)
Social media (Facebook, Twitter, etc)
Other [specify]
Q23b1. [ASK TO FILERS AND NON-FILERS] If the following electronic options were available, what is the likelihood that you would choose the electronic option over receiving paper notices where 1 is “Not at all Likely” and 5 is “Very Likely”?
Choose to receive emails from the IRS containing general information, no personal or financial information.
Choose to receive emails from the IRS containing personal and/or financial information.
The next questions are about completing and filing your 2013 taxes.
[INSTRUCTION: REST OF SECTION FOR FILERS ONLY]
[SC]
Q28a Are you aware of the Earned Income Tax Credit (EITC/EIC)?
1 Yes
2 No
[SC, IF Q28A=1]
Q28b How did you first learn about Earned Income Tax Credit (EITC/EIC)?
Accountant/Tax preparer (H&R Block, Jackson Hewitt)
TV/Radio/newspaper/flyers
Friend/Family/Co-worker
IRS.gov or IRS publication
Tax software (e.g. TurboTax, TaxCut, TaxAct)
Social media (e.g. Facebook, Twitter, YouTube, etc.)
IRS2Go App (for smartphones or mobile tablet devices)
Other (specify)______________________________
Don’t know/Don’t remember
[SC, If Q28A=1]
Q28. Did you apply for the Earned Income Tax Credit (EITC/EIC) when you filed your 2013 federal tax return?
Yes
No [skip to Q26]
[SC, If Q28=1]
Q28c. Did you qualify for Earned Income Tax Credit (EITC)/EIC for the 2013 tax year?
Yes
No
Don’t know
[SC]
Q26. Which of the following describes how your 2013 federal taxes were prepared? By this, we mean filling out the forms and NOT the actual filing task.
By hand, using IRS tax forms
On a computer, using tax software (for example, TurboTax or TaxAct)
Went to IRS.gov, found a Free File company and used their tax software (Traditional Free File)
Went to IRS.gov and used Free File Fillable Forms - filled in blank tax forms online without using tax software
Went to IRS.gov Español, found a Free File company and used their tax software in Spanish (Traditional Free File)
Both by hand and using purchased tax software (for example, TurboTax or TaxAct)
Other, specify
Don’t know
Accountant/tax preparer/someone else prepared my return
[SC, IF S3 = 1]
Q27. Did you have your 2012 federal tax return available to you when you prepared your 2013 return?
Yes
No
First time filer/Not applicable
Tax Filing
[SC]
Q33. Are you aware that you can file your federal tax return electronically?
1 Yes
2 No
[SC, SKIP IF Q26=3]
Q35. Are you aware that “Free File” options are available on IRS.gov, where taxpayers are re-directed from IRS.gov to a third party’s website to prepare and file their federal return online. This service is offered at no cost to those who qualify.
1 Yes
2 No
[SC, IF XSPANISH = 2 and Q35=yes][SKIP if Q26=5]
Q35s1. Are you aware that IRS Free-File service is also available in Spanish from the Español section of IRS.gov.?
1 Yes
2 No
[ SC]
Q30a. How was your 2013 federal tax return filed in 2014? Was the return:
Sent by U.S. mail or commercial delivery service
Filed electronically (e-file) (including Free File)
Delivered in person
Don’t know
[SC, IF Q30A NOT =4 OR MISSING]
Q31a. Did you Insert response from Q30A] in the previous year?
Yes
No
[MC if ((Q35=YES OR Q35S1=YES (AWARE OF FREE FILE)) AND (Q26 = 1,2 or or 6 (DID NOT USE TRADITIONAL FREE FILE but used menthods in 1, 2 or 6)]
Q37. What were the reasons that you did not use “Free File” for your 2013 tax return?
Do not meet the income requirements/my income is too high
Do not understand what Free File is
Instructions too confusing on IRS website
Difficult to use once I am on 3rd party website
Do not have confidence in Free File/trust in Free File
Do not have confidence in security of sending my personal information over the Internet
Could get faster refund from preparer through Refund Anticipation Loan
Option was not offered
Accountant, tax preparer or someone else decided how to file for me
Preferred another method
Free File did not support the forms/schedules I file because my taxes are complicated
Other (specify)______________________________
[SC, GRID – MAKE ALL COLUMNS SAME WIDTH]
Q38. Here are some questions about preparing and filing your return. How satisfied were you with the following:
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
[IF S3 = 1 SHOW]
The time you spent completing your federal tax return
The ease of understanding what materials and documents to include with your federal tax return
The ease of understanding where to send your return
[IF Q26=2, 6] The amount of money you spent to file your federal tax return electronically
[IF Q26=3,4,5] Ease of using Free File through the IRS website
[SC, IF S3 NE 1]
Q39a1. Taking all factors into account, please rate your overall satisfaction with the person who completed your return.
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
[SC, IF S3 NE 1]
Q39a2. Taking all factors into account, please rate your overall satisfaction with the filing process (the actual filing task) of your federal return.
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
Not applicable/someone else filed my tax return
[SC, IF S3 = 1]
Q39b. Taking all factors into account, please rate your overall satisfaction with preparing and filing your federal return.
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
IV. GETTING YOUR REFUND FROM THE IRS
[FOR FILERS ONLY]
[SC]
Following are some questions about getting a refund from the IRS for your 2013 federal tax return.
[SC]
Q43a. When you prepared your 2013 federal tax return, did you think you would get a tax refund or that you owed taxes?
Thought I owed taxes
Expected a refund
Neither
Don’t know
[SC]
Q43b. In the end, did you get a refund, owe money or neither?
Got refund
Owed money
Neither
Don’t know
[SC, IF Q43B = 1]
Q46 Have you received your refund for your 2013 tax return yet? If you were expecting a refund, but it was withheld for any reason, please answer “No”.
1 Yes
2 No
3 Applied to prior year balance/estimated tax
[SC, IF 46 = 1, 2]
Q48. [IF Q46 = 2, SHOW How did you request to receive your refund?
[IF Q46 = 1, SHOW How did you receive your refund?
Direct deposit
Paper check
Refund Anticipation Loan (RAL).
Refund Anticipation Check
Prepaid VISA card
[SC/GRID, IF Q43B = 1 – MAKE ALL COLUMNS SAME WIDTH]
Q50. Please rate your satisfaction with the following aspects of getting your refund from the IRS. How satisfied were you with:
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
Not applicable
The time it took to receive your refund from the IRS
The accuracy of your refund
The IRS’s explanation of any adjustments to your refund
[SC, IF Q43B = 1]
Q51. Taking all factors into account, please rate your satisfaction with getting your refund from the IRS for the 2013 tax season?
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very satisfied
V.ACA
[ASK TO FILERS AND NON-FILERS]
Q82a. Are you aware of the need to report whether or not you have health insurance on your 2014 tax return, to be filed in 2015?
Yes
No
Q82b. Are you aware that under the Affordable Care Act, individuals may have to make a payment to the IRS if they do not purchase health insurance?
1 Yes
2 No
[ASK IF Q82b = YES]
Q82c. Are you aware that certain circumstances will exempt individuals from the requirement to purchase health insurance?
1 Yes
2 No
[ASK IF Q82b = YES]
Q82d. How would you prefer to get information about the requirement to purchase health insurance? (Please check all that apply.)
1 Health Insurance Marketplace website (www.healthcare.gov)
2 IRS website (www.IRS.gov)
3 Internet websites other than the IRS and Health Insurance Marketplace websites
4 Health Insurance Marketplace phone representatives
5 IRS phone representatives
6 Health insurance company
7 Health insurance agents and brokers
8 Physician
9 Personal accountant/bookkeeper
10 Tax preparation company
11 Tax Preparation software
12 Direct Mail
13 Other (please specify)
[ASK IF Q82b = YES]
Q82e. How would you prefer to get information about exemptions to the requirement to purchase health insurance? (Please check all that apply.)
1 Health Insurance Marketplace website (www.healthcare.gov)
2 IRS website (www.IRS.gov)
3 Internet websites other than the IRS and Health Insurance Marketplace websites
4 Health Insurance Marketplace phone representatives
5 IRS phone representatives
6 Health insurance company
7 Health insurance agents and brokers
8 Physician
9 Personal accountant/bookkeeper
10 Tax preparation company
11 Tax Preparation software
12 Direct Mail
11 Other (please specify)
Q83a. Are you aware of the Premium Tax Credit, which is a tax credit designed to help individuals afford health insurance through the Marketplace?
1 Yes
2 No
[ASK IF Q83a = YES]
Q83b. How did you learn about the Premium Tax Credit?
[Open End]
[ASK IF Q83a = YES]
Q83c. Are you aware of the option to arrange advance monthly payments of the tax credit from the government to your insurance company to reduce your monthly premium?
1 Yes
2 No
[ASK IF Q83a = YES]
Q83d. Are you aware of the following requirements in order to be eligible for the Premium Tax Credit?
1 – Yes 2 – No
1 Buying health insurance through the Marketplace
2 Not having coverage through an employer or government plan
3 Being within certain income limits
4 Filing a federal income tax return for the year you claim the credit
5 Not filing a Married Filing Separately tax return
6 Not being claimed as a dependent by another person
[ASK IF Q83c = YES]
Q83e. Are you aware that if an individual receives advance payments of the tax credit, it is important to report changes in income or family size to the Marketplace to avoid getting too much or too little credit in advance?
1 Yes
2 No
Q83f. Are you aware that the IRS offers information about the Affordable Care Act provisions on IRS.gov/aca?
1 Yes
2 No
VI. Banking and Scam Questions
QB1: Do you currently have a checking or savings account that you use at least once a month?
Yes, I have used my checking or savings account within the last month
No, I have not used my checking or savings account within the last month
No, I do not currently have an open checking or savings account
[ASK IF QB1 = 2]
QB2: How long has it been since you actively used your checking or savings account?
2 to 6 months
7 to 12 months
Over a year
[ASK IF QB1 = 2]
QB3: Which of the following describes the reason(s) you do not use your checking or savings account? Check all that apply
Banks do not have convenient hours
Banks do not have convenient locations
Bank account fees are too high
Bank account minimum balance requirements are too high
Banks do not offer the needed products or services
I do not like dealing with and/or do not trust banks
I do not have enough money
I do not know how to manage an account
I do not need or want my account any longer
Other: (Please explain)
[ASK IF QB1 = 3]
QB4: When was the last time you had a checking or savings account?
Within the past month
2 to 6 months
7 to 12 months
1 to 4 years
More than 5 years
[ASK IF QB1 = 3]
QB5: Which of the following describes the reason(s) you do not have a checking or savings account? Check all that apply
The bank closed my account
Banks do not have convenient hours
Banks do not have convenient locations
Bank account fees are too high
Bank account minimum balance requirements are too high
Banks do not offer the needed products or services that I need
I am unable to open an account (e.g. due to banking or credit history problems)
I do not trust banks
I do not have enough money to open an account
I do not know how to open
I do not know how to manage an account
I do not want or need an account
Other: (Please explain)
[ASK IF Q48 = 2]
QB6: Have you direct deposited your tax refund into a checking or savings account in the past?
Yes
No
[ASK IF QB6 = 1]
QB7: Which of the following describes your reason(s) for requesting a paper refund check? Check all that apply
I do not have a checking or savings account
Receiving a paper check is easier
I have always received a paper refund check
Receiving your refund via paper check is quicker
I can cash my refund check when and where I choose
My identity was stolen when I tried to direct deposit my refund in the past
I am afraid of becoming an identity theft victim if I direct deposit my refund
I do not like feeling forced to use banking services to access my refund
Other: (Please explain)
[ASK IF QB6 = 2]
QB8: Which of the following describes the reason(s) you have never tried direct deposit as a refund delivery option? Check all that apply
I do not have a checking or savings account
I have never had an interest in direct deposit
I have always received a paper refund check
Receiving a paper check is faster
I like the option of cashing my check when and where I choose
My identity was stolen when I tried to use an electronic refund option in the past
Direct deposit makes people vulnerable to identity theft
I do not like feeling forced to use banking services to access my refund
I do not understand how direct deposit works
Other: (Please explain)
[ASK IF Q48 = 2]
QB9: What is the likelihood of you direct depositing your refund in the future?
Extremely unlikely
Unlikely
Neutral
Likely
Extremely likely
[ASK IF QB1 = 2 or 3]
QB10: Prior to this survey, what was your use or awareness of the following alternative financial products?
|
Aware of but never used |
Used in past 30 days |
Used within the past 12 months |
Used More than a year ago |
Never heard of this product |
Payday loan |
|
|
|
|
|
Pawned an item |
|
|
|
|
|
Refund Anticipation Loan (RAL) |
|
|
|
|
|
Refund Anticipation Check |
|
|
|
|
|
Prepaid VISA card |
|
|
|
|
|
Rent-to-own agreement |
|
|
|
|
|
Check cashing |
|
|
|
|
|
Money orders |
|
|
|
|
|
Buy-here-pay-here auto loans |
|
|
|
|
|
[ASK IF QB1 = 2 or 3]
Prepaid debit cards may have logos such as MasterCard, VISA, Discover, or American Express. These cards are not linked to a checking or savings account. You can keep adding money onto this card and use it to make purchases and pay bills anywhere credit cards are accepted or withdraw the cash from an ATM. Prepaid debit cards do not include phone cards, gift cards for a particular store or service or cards that you cannot add more funds onto.
QB11: Do you currently use a prepaid debit card such as described above?
Yes
No
[ASK IF QB11 = 1]
QB12: Does your prepaid debit card provider allow you to direct deposit your tax refund onto your card?
Yes
No
Do not know
[ASK IF QB12 = 1]
QB13: Have you direct deposited your tax refund onto your prepaid debit card in the past?
Yes
No
[ASK IF QB12 = 1]
QB14: Which of the following describes your reason(s) for requesting a paper refund check instead of direct depositing your refund onto your prepaid debit card? Check all that apply
Maintenance fees are too high
Prepaid debit cards do not offer the needed services (i.e., available ATMs)
There are no prepaid debit card billing protections (i.e., replacement if lost or stolen)
Prepaid debit cards cannot be used universally (i.e., hotels and car rental agencies)
I do not like dealing with prepaid debit card companies
My identity was stolen when I used my prepaid debit card
Other: (Please explain)
[ASK IF QB11 = 2]
QB15: Considering the description you just read, would you be willing to use a government-sponsored card to direct deposit your refund?
Yes
No
[ASK IF QB12 = 2 or 3]
QB16: Would you be willing to direct deposit your refund if your current prepaid debit card company allows you to do so?
Yes
No
QB17. Are you aware of tax scams, postures, or unscrupulous tax preparers?
Yes
No
[ASK IF QB17 = 1]
QB18. Have you obtained information from the IRS about issues relating to tax scams, postures, or unscrupulous tax preparers?
Yes
No
QB19. How would you like to receive this information from the IRS about these issues? [check all that apply]
1 TV/Radio/newspaper/flyers
2 IRS.gov or IRS publication
3 Tax software (e.g. TurboTax, TaxCut, TaxAct)
4 Social media (e.g. Facebook, Twitter, YouTube, etc.)
5 IRS2Go App (for smartphones or mobile tablet devices)
6 LinkedIn
7 Email
8 Other (specify)______________________________
VI. OVERALL SATISFACTION: ALL RESPONDENTS
Overall Satisfaction
[PROMPT, SC, IF XSPANISH = 2]
Q71a. Please rate your overall satisfaction with the Spanish-language assistance you received from the IRS for your 2013 federal taxes.
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very Satisfied
[PROMPT, SC]
Q71b. Considering all factors concerning your 2013 federal tax return (including getting information, preparation and filing, and refund or notice issues), please rate your overall satisfaction with the entire 2013 tax filing process.
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied (neutral)
Satisfied
Very Satisfied
[TXT]
Q72. What could the IRS have done to improve your 2013 tax filing process experience ? Please comment on IRS service or products rather than tax laws or codes. If you have no suggestions, please enter “None.”
_________________________________________________________________________________
VII. PSYCHOGRAPHIC QUESTIONS
[SC, GRID]
Q73. The next set of questions are opinion questions that give us an indication of taxpayer views on finance and Internet-related issues. Please indicate the extent to which you agree or disagree with each of the following statements. [Rotate list of items]
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I enjoy doing research on the Internet
Technology is important to me
I perform financial activities (i.e., pay bills, credit cards, insurance, mortgages, etc) on the Internet
I make purchases on the Internet
I feel secure sharing personal financial information over the Internet
I think preparing tax returns should be made easier
I am knowledgeable about U.S. Tax Code
I pay attention to changes proposed or made to U.S. Tax Code which may or may not impact my personal tax situation
I proactively plan for and minimize my tax burden throughout the year by tracking deductible expenses, making purchases to qualify for tax credits, selling investments to offset capital gains, making charitable donations, etc.
I think electronic filing should be free to everyone
I think there should be an alternative tax system to replace the income tax system
I regularly save money
I have an emergency fund/financial safety net
I’m confident in my ability to solve financial problems that come up in my everyday life
I understand how the Affordable Care Act affects me.
VIII. DEMOGRAPHICS: ALL RESPONDENTS
The following few questions are for classification purposes only.
[SC]
D1. Do you have a computer at home?
1 Yes
2 No
[SC]
D1.1 Do you own and use a mobile phone?
1 Yes, regular mobile phone
2 Yes, Smartphone (mobile phone with applications and internet access)
3 No
[MC]
D1.2 Which of the following social media sources do you use? (Check all that apply)
[NOTE TO PMR: If possible, recode as follows to match online coding]
YouTube
Tumblr
Other (specify)______________
None
[SC]
D2.1. Do you access the Internet apart from taking surveys ?
Yes
No
D2.3. Do you have health insurance?
1 Yes
2 No
[ASK IF D2.3 = YES]
D2.4. Through whom do you have health insurance? [CHECK ALL THAT APPLY]
1 Directly from an insurance company
2 Employer-based health insurance plan
3 Health Insurance Marketplace
4 Medicare
5 Medicaid
6 State-specific health insurance plan
7 TRICARE or other military health coverage
8 I don’t know
9 Other
[SC]
D5. What is the highest level of education you have completed?
1 Less than 9th grade
2 9th grade to 12th grade, no diploma
3 High school graduate/GED
4 Some technical/vocational school
5 Technical or vocational school graduate
6 Some college, no degree
7 Associate Degree
8 Bachelor’s Degree
9 Master’s Degree
10 Post-Master’s Degree
[MC]
D6. Do you have any of the following long-term conditions (lasting 6 months or more)? Please select all that apply.
1 Deafness
2 Severe Vision Impairment
3 Severe Hearing Impairment
4 Severe Speech Impairment
5 A condition that substantially limits your physical abilities (such as standing or walking)
6 A condition that limits learning or remembering
7 Some other condition
8 Do not have a long-term condition [SC]
[SC, IF D6 = 1-7]
D6a. Does your disability prevent you from going outside of your home?
1 Yes
2 No
[SC]
D7. What is your employment status?
1 Work full-time
Work part-time
Retired
Full-time student
Unemployed, looking for work
Employed in the home/homemaker (for example, a stay at home parent)
Other
[NUM ENTER DIGITS 0-99, IF D7 = 5]
D7.1 For how many months have you been unemployed and looking for work?
___________ months
[SC]
D8. [FOR FILERS ONLY] Did you report having any dependents on your 2013 tax return?
1 Yes
2 No
[ASK IF D8 = 1]
D2.2. [FOR FILERS ONLY] How many dependents did you claim on your 2013 tax return?
[Enter # between 0 and 25]
[SC]
D9. Which of the following categories best describes your household income before taxes for 2013?
Less than $10,000
$10,000 to less than $15,000
$15,000 to less than $20,000
$20,000 to less than $25,000
$25,000 to less than $35,000
$35,000 to less than $50,000
$50,000 to less than $75,000
$75,000 to less than $100,000
$100,000 to less than $150,000
$150,000 to less than $200,000
$200,000 to less than $1 million
$1 million or more
[SC]
D10. Do you speak a language other than English at home?
Yes
No
[SC, IF XSPANISH = 2]
D11. Are you of Hispanic or Latino origin (ethnicity)?
Yes
No
D11A What is your race? Please select one or more. Are you… [accept all multiple answers]
White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaskan Native
[SC, IF XSPANISH = 2]
D12. What is your country of origin?
Argentina
Colombia
Cuba
Dominican Republic
Ecuador
El Salvador
Guatemala
Honduras
Mexico
Nicaragua
Peru
Puerto Rico
Spain
United States
Venezuela
Other (Please specify)
Pacific Consulting Group
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | STANDARD QUESTIONNAIRE FORMAT |
| Author | jhoniball |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |