FEMA Form 007-0-7 Disaster Recovery Center Survey
LOCATION by CURRENT TEXT QUESTION |
CURRENT TEXT |
REVISED TEXT |
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Introduction |
Hello, I’m calling from FEMA, the Federal Emergency Management Agency. My name is ___ and my ID # is _________. May I please speak with (Applicant) or the person who visited the Disaster Recovery Center on ________ (visit date)?
If no: Thank you for your time and have a good day/evening. (Mark attempt)
If yes: We're looking for ways to improve the quality of our service and your opinion is very important to us. Would you volunteer to take 3 - 7 minutes to answer some questions?
If No: I understand, Thank you for your time and have a good day/evening)
If Yes: Thank you. The following questions have been approved by the Office of Management and Budget under number 1660-0036. Please be assured your answers will not affect the outcome of your application for FEMA assistance.
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Hello, I’m calling from FEMA, the Federal Emergency Management Agency. My name is ___ and my ID # is _________. May I please speak with (Applicant) or the person who visited the Disaster Recovery Center on (Visit Date)?
If no: What would be a better time to call back? Thank you for your time and have a good day/evening. If yes: We're looking for ways to improve the quality of our service and your opinion is very important to us. Would you volunteer to take 5 - 9 minutes to answer some questions?
If No: What would be a better time to call back? Thank you for your time and have a good day/evening. If Yes: Thank you. The following questions comply with the Privacy Act of 1974 have been approved by the Office of Management and Budget under number 1660-0036. Your answers will not affect the outcome of your application for FEMA assistance. This call may be monitored and/or recorded for quality assurance. |
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1. |
Considering everything you experienced at the Disaster Recovery center, what would be your overall rating of the Center?
Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion [If response=Excellent or Good, go to 1a] [If Below Average or Poor, go to 1b] [else go to 2] |
1. No change |
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1a. |
What specific reason caused you to give it that rating? [Text Box] |
1a. No change |
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1b |
What specific reason caused you to give it that rating? [Text Box] |
1b. No change |
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2. |
When you first learned that a FEMA Disaster Recovery Center was opening, and BEFORE you went there, what type of services and information did you EXPECT to find?
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Revised and moved to 5:
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3. |
How did you hear about the location of the Recovery Center?
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2. Revised How did you hear about the location of the Recovery Center?
If only response = Word of Mouth… go to 2b else go to 2a |
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3a. |
How would you rate FEMA in letting you know the location of the Center in your area? Would you say they were…?
Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion [Below Average or Poor, go to 3b] |
2a. No change.
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2b. New What would be the vest way of advertising the Center? (Text Box) |
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4. |
How would you rate the convenience of the Center’s…
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Revised 3: How convenient for you was the Center’s location” Would you say…
[If response = Below Average or Poor go to 3a else go to 4] |
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4a |
location? Would you say…? Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion [Below Average or Poor go to 4b; otherwise go to 4c] |
Merged into one Question Number above. |
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4b. |
What specific reason caused you to give it that rating? [Text Box] |
3a. Revised
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4c. |
hours of operation? Would you say…? Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion
[Below Average or Poor go to 4d; otherwise go to 5] |
4. Revised How convenient for you were the Center’s hours of operation? Would you say…
[If response = Below Average or Poor go to 4a else go to 5] |
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4d |
What specific reason caused you to give it that rating? [Text Box] |
4a. No change |
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Moved |
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5. Moved and Revised: BEFORE you arrived at the Disaster Recovery Center, what type of services and information did you EXPECT to find?
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5. |
A variety of disaster services and agencies were at the Center. AFTER you went there and saw what was available, what specifically did you want to accomplish during your visit to the Center?
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6. Revised AFTER you entered the Center and saw what was available, what specifically did you want to accomplish during your visit?
(If response = Temporary Housing go to 6a, else go to 7] |
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5a. |
How would you rate the Center on helping you find available housing? Would you say…..? Extremely Helpful Very Helpful Somewhat Helpful Not Very Helpful Not At All Helpful Don’t Know / No Opinion [Not Very Helpful or Not At All Helpful, go to 5b] |
6a. No change. |
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5b. |
How could they have been more helpful? [Text Box] |
6b. No change. |
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6. |
Did you accomplish all the things you wanted to during your visit to the Center?
Yes Some No [Some or No go to 6a and check all that apply; otherwise go to 7] |
7. No change. |
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6a. |
What things were not accomplished?
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7a. Revised What things were not accomplished?
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7. |
How would you rate the Recovery Center Staff on…?
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8. Revised How would you rate the Recovery Center Staff on being courteous? Would you say…
[If response = Below Average or Poor go to 8a else go to 9] |
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7a. |
being courteous? Would you say…? Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion
[Below Average or Poor go to 7b and check all that apply, otherwise go to 7c] |
Merged into one Question Number above. |
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7b. |
In what way was he/she not courteous? Impatient Interrupted Accusatory Condescending Tone of Voice Other [Text Box]
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8a. Revised In what way were they not courteous?
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7c. |
showing an interest in your situation? Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion
[Below Average or Poor go to 7d and check all that apply, otherwise go to 7f]
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9. Revised …and on showing an interest in your situation? Was the Recovery Center Staff…
[If response = Below Average or Poor go to 9a else go to 10] |
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7d. |
What made you feel he/she was not interested in helping? Didn’t Answer Questions Didn’t Listen No Empathy Indifference Didn’t make me Eligible Other [Text Box]
[If Didn’t Answer Questions is checked go to 7e]
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9a. Revised. What made you feel he/she was not interested in helping?
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7e. |
What questions were not answered? [Text Box]
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10. Revised Using the same rating scale how would you rate the Disaster Recover Center Staff on letting you know what you needed to do next?
[If response = Below Average or Poor go to 10a else go to 11] |
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7f. |
letting you know what you needed to do next? Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion [Below Average or Poor go to 7g and check all that apply below, otherwise go to 7i] |
Merged into one Question Number above. |
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7g. |
What specific reason(s) caused you to give it that rating?
Next Steps not given Didn’t Answer Questions Too much info Too Confusing Indifference Other [Text Box]
[If Didn’t Answer Questions is checked go to 7h]
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10a. Revised What specific reason(s) caused you to give it that rating?
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7h. |
What questions were not answered? [Text Box] |
Deleted |
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7i. |
making good use of your time?
Excellent Good Satisfactory Below Average Poor Don’t Know / No Opinion [Below Average or Poor go to 7j and check all that apply below, otherwise go to 8] |
11a. Revised …and on making good use of your time?
[If response = Below Average or Poor go to 11a else go to 12] |
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7j. |
What specific reason(s) caused you to give it that rating?
Upfront Info Organization Need more Staff Phone Issues Computer Issues Other [Text Box]
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11a. Revised What specific reason(s) caused you to give it that rating?
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12. New While at the Disaster Recovery Center did you receive any FEMA brochures or information sheets?
[If response = Yes go to 12a else go to 13] |
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12a. New How helpful was the written material? Would you say:
[If response = Not Very Helpful or Not at all Helpful go to 12b else go to 13] |
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12b. New What changes are needed to make the information more helpful? (Text Box) |
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13. New Did you request to use alternate communication tools such as an amplified phone, illuminated Magnifier or other types of accessibility while at the Recovery Center?
[If response = Yes go to 13a else go to 14] |
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13a. New How satisfied were you with the device(s) provided?
[If response = Not Very Satisfied or Not at all Satisfied go to 13b else go to 14] |
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13b. New What changes should be made at the Disaster Recovery Center to improve alternate communication and accessibility services? (Text Box) |
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14. New Have you encouraged friends, family or others to visit the Disaster Recovery Center?
(If response = Yes go to 14a else go to 15) |
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14a. New Did you communicate that information:
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8. |
FEMA is interested in getting your opinion on what we could do to improve our service. What other suggestions would you like to pass on to improve Disaster Recovery Centers that you have not already shared? [Text Box]
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15. Revised FEMA is interested in getting your opinion on what we could do to improve our service. What recommendations would you like to pass on to improve the Disaster Recovery Centers [Text Box] |
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Close |
Thank you very much for your time. Have a good day/evening. |
Close: No change. |
File Type | application/msword |
File Title | FF-####, TITLE |
Author | FEMA Employee |
File Modified | 2013-12-18 |
File Created | 2013-12-18 |