Form 1027 2014 782 Architect of the US Capitol Tour

E-Government Website Customer Satisfaction Surveys

2014 782 Architect of the US Capitol Tour.xlsx

2014 782 Architect of the US Capitol Tour

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome and Thank You Text
Current Model Qsts
MQs V1 Qsts 1&2
MQs V2 Qsts 1&3
MQs V3 Qsts 2&3
Custom Questions (All)

Sheet 1: Welcome and Thank You Text
Model Instance Name:








CVC Tour







MID: MswBBENZcR8FIZ4o1RFBIw==






Date: 2/21/2012








Welcome and Thank You Text













Directions:










This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.









Examples


Welcome Text Example































Welcome Text









Thank you for your willingness to provide feedback to the U.S. Capitol Visitor Center!

You have been selected to take a survey about the Tour of the U.S. Capitol. The survey will include very specific questions about the tour, as well as general questions about you and your entire Capitol Visitor Center experience.

This survey will let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best experience possible while at the U.S. Capitol.


























































































Thank You Text Example


















Thank You Text












Thank you for taking our survey - and for helping us serve you better.

Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website.
























































































































































































































Sheet 2: Current Model Qsts

Model Instance Name:




CVC Tour




MID: MswBBENZcR8FIZ4o1RFBIw==



Partitioned (Y/N)? N




Date: 2/27/2012


CVC Tour
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







US Government (1=Poor, 10=Excellent)
Satisfaction
Return (1=Very Unlikely, 10=Very Likely)
1 U.S. Capitol Tour and Government - How well did the U.S. Capitol Tour...
Foster connections between citizens and their government.		 22 What is your overall satisfaction with the U.S. Capitol Tour? (1=Very Dissatisfied, 10=Very Satisfied) 25 How likely are you to return to the U.S. Capitol Visitor Center?
2 Enhance understanding of the legislative branch of government. 23 How well does this tour meet your expectations?
(1=Falls Short, 10=Exceeds)
Recommend (1=Very Unlikely, 10=Very Likely)
3 Explain the different roles and responsibilities of the House and Senate. 24 How does this tour compare to your idea of an ideal tour?
(1=Not Very Close, 10=Very Close)		 26 How likely are you to recommend the U.S. Capitol Tour to someone else?

Capitol History (1=Poor, 10=Excellent)


Perception (1=Very Unlikely, 10=Very Likely)
4 U.S. History and the U.S. Capitol Tour - How well did the presented information ...
Arouse curiosity in the history of the United States, Congress and the Capitol.

27 How likely are you to improve your perception of the U.S. Capitol Visitor Center as a result of taking the tour?
5 Develop context about important people, places, and events in U.S. history.


Future Participation (1=Very Unlikely, 10=Very Likely)
6 Increase understanding of the role of citizen involvement to develop the United States.

28 How likely are you to express your thoughts about the U.S. Capitol Visitor Center in the next 90 days?

Tour Content (1=Strongly Disagree, 10=Strongly Agree)


Community Service (1=Very Unlikely, 10=Very Likely)
7 Please rate your level of agreement with the following statements:
The tour advanced my knowledge and understanding of the U.S. government.

29 How likely are you to donate time and effort to community service in your local area?
8 The tour is a helpful experience toward understanding U.S. history.



9 The tour covers its objectives.




Communication (1=Poor, 10=Excellent)



10 Thinking about your tour guide, please rate how well the guide performed in the following areas:
Communication
Tour guide's understanding of your questions during the tour.



11 Accuracy of information provided about things viewed at the Capitol.



12 Ability to clearly communicate content and information throughout the tour.




Engagement (1=Poor, 10=Excellent)



13 Engagement
Friendliness when speaking.



14 Promptness to acknowledge questions and comments.



15 Respect for traditions, cultures, and needs of visitors and guests.




Interactivity (1=Poor, 10=Excellent)



16 Interactivity
The ability of the guide to engage in discussions.



17 The capacity to connect content with questions and discussions during the tour.



18 The skill of the guide to create involvement among members of the tour group.


Tour Guide (1=Strongly Disagree, 10=Strongly Agree)
19 Please rate your level of agreement with the following statements:
The tour guide demonstrated professionalism throughout the tour.
20 The tour guide was responsive to the questions and needs arising during the tour.



21 The tour guide was enthusiastic about my participation at the U.S. Capitol.




Sheet 3: MQs V1 Qsts 1&2
Model Instance Name:




CVC Tour




MID: xBo8QV1YcARw0ot8d18A1w4C



Partitioned (Y/N)? N




Date: 2/27/2012


CVC Tour V1
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







US Government (1=Poor, 10=Excellent)
Satisfaction
Return (1=Very Unlikely, 10=Very Likely)
1 U.S. Capitol Tour and Government - How well did the U.S. Capitol Tour...
Foster connections between citizens and their government.		 22 What is your overall satisfaction with the U.S. Capitol Tour? (1=Very Dissatisfied, 10=Very Satisfied) 25 How likely are you to return to the U.S. Capitol Visitor Center?
2 Enhance understanding of the legislative branch of government. 23 How well does this tour meet your expectations?
(1=Falls Short, 10=Exceeds)
Recommend (1=Very Unlikely, 10=Very Likely)

Capitol History (1=Poor, 10=Excellent) 24 How does this tour compare to your idea of an ideal tour?
(1=Not Very Close, 10=Very Close)		 26 How likely are you to recommend the U.S. Capitol Tour to someone else?
4 U.S. History and the U.S. Capitol Tour - How well did the presented information ...
Arouse curiosity in the history of the United States, Congress and the Capitol.


Perception (1=Very Unlikely, 10=Very Likely)
5 Develop context about important people, places, and events in U.S. history.

27 How likely are you to improve your perception of the U.S. Capitol Visitor Center as a result of taking the tour?

Tour Content (1=Strongly Disagree, 10=Strongly Agree)


Future Participation (1=Very Unlikely, 10=Very Likely)
7 Please rate your level of agreement with the following statements:
The tour advanced my knowledge and understanding of the U.S. government.

28 How likely are you to express your thoughts about the U.S. Capitol Visitor Center in the next 90 days?
8 The tour is a helpful experience toward understanding U.S. history.


Community Service (1=Very Unlikely, 10=Very Likely)

Communication (1=Poor, 10=Excellent)

29 How likely are you to donate time and effort to community service in your local area?
10 Thinking about your tour guide, please rate how well the guide performed in the following areas:
Communication
Tour guide's understanding of your questions during the tour.



11 Accuracy of information provided about things viewed at the Capitol.




Engagement (1=Poor, 10=Excellent)



13 Engagement
Friendliness when speaking.



14 Promptness to acknowledge questions and comments.




Interactivity (1=Poor, 10=Excellent)



16 Interactivity
The ability of the guide to engage in discussions.



17 The capacity to connect content with questions and discussions during the tour.




Tour Guide (1=Strongly Disagree, 10=Strongly Agree)



19 Please rate your level of agreement with the following statements:
The tour guide demonstrated professionalism throughout the tour.



20 The tour guide was responsive to the questions and needs arising during the tour.
































Sheet 4: MQs V2 Qsts 1&3
Model Instance Name:




CVC Tour




MID: odkNoYU1QAMwYsME1hQgJQ4C



Partitioned (Y/N)? N




Date: 2/27/2012


CVC Tour V2
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







US Government (1=Poor, 10=Excellent)
Satisfaction
Return (1=Very Unlikely, 10=Very Likely)
1 U.S. Capitol Tour and Government - How well did the U.S. Capitol Tour...
Foster connections between citizens and their government.		 22 What is your overall satisfaction with the U.S. Capitol Tour? (1=Very Dissatisfied, 10=Very Satisfied) 25 How likely are you to return to the U.S. Capitol Visitor Center?
3 Explain the different roles and responsibilities of the House and Senate. 23 How well does this tour meet your expectations?
(1=Falls Short, 10=Exceeds)
Recommend (1=Very Unlikely, 10=Very Likely)

Capitol History (1=Poor, 10=Excellent) 24 How does this tour compare to your idea of an ideal tour?
(1=Not Very Close, 10=Very Close)		 26 How likely are you to recommend the U.S. Capitol Tour to someone else?
4 U.S. History and the U.S. Capitol Tour - How well did the presented information ...
Arouse curiosity in the history of the United States, Congress and the Capitol.


Perception (1=Very Unlikely, 10=Very Likely)
6 Increase understanding of the role of citizen involvement to develop the United States.

27 How likely are you to improve your perception of the U.S. Capitol Visitor Center as a result of taking the tour?

Tour Content (1=Strongly Disagree, 10=Strongly Agree)


Future Participation (1=Very Unlikely, 10=Very Likely)
7 Please rate your level of agreement with the following statements:
The tour advanced my knowledge and understanding of the U.S. government.

28 How likely are you to express your thoughts about the U.S. Capitol Visitor Center in the next 90 days?
9 The tour covers its objectives.


Community Service (1=Very Unlikely, 10=Very Likely)

Communication (1=Poor, 10=Excellent)

29 How likely are you to donate time and effort to community service in your local area?
10 Thinking about your tour guide, please rate how well the guide performed in the following areas:
Communication
Tour guide's understanding of your questions during the tour.



12 Ability to clearly communicate content and information throughout the tour.




Engagement (1=Poor, 10=Excellent)



13 Engagement
Friendliness when speaking.



15 Respect for traditions, cultures, and needs of visitors and guests.




Interactivity (1=Poor, 10=Excellent)



16 Interactivity
The ability of the guide to engage in discussions.



18 The skill of the guide to create involvement among members of the tour group.




Tour Guide (1=Strongly Disagree, 10=Strongly Agree)



19 Please rate your level of agreement with the following statements:
The tour guide demonstrated professionalism throughout the tour.



21 The tour guide was enthusiastic about my participation at the U.S. Capitol.
































Sheet 5: MQs V3 Qsts 2&3
Model Instance Name:




CVC Tour




MID: F01I09IQJNUQoI80sJl9Zg4C



Partitioned (Y/N)? N




Date: 2/27/2012


CVC Tour V3
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







US Government (1=Poor, 10=Excellent)
Satisfaction
Return (1=Very Unlikely, 10=Very Likely)
2 U.S. Capitol Tour and Government - How well did the U.S. Capitol Tour… Enhance understanding of the legislative branch of government. 22 What is your overall satisfaction with the U.S. Capitol Tour? (1=Very Dissatisfied, 10=Very Satisfied) 25 How likely are you to return to the U.S. Capitol Visitor Center?
3 Explain the different roles and responsibilities of the House and Senate. 23 How well does this tour meet your expectations?
(1=Falls Short, 10=Exceeds)
Recommend (1=Very Unlikely, 10=Very Likely)

Capitol History (1=Poor, 10=Excellent) 24 How does this tour compare to your idea of an ideal tour?
(1=Not Very Close, 10=Very Close)		 26 How likely are you to recommend the U.S. Capitol Tour to someone else?
5 U.S. History and the U.S. Capitol Tour - How well did the presented information … Develop context about important people, places, and events in U.S. history.


Perception (1=Very Unlikely, 10=Very Likely)
6 Increase understanding of the role of citizen involvement to develop the United States.

27 How likely are you to improve your perception of the U.S. Capitol Visitor Center as a result of taking the tour?

Tour Content (1=Strongly Disagree, 10=Strongly Agree)


Future Participation (1=Very Unlikely, 10=Very Likely)
8 Please rate your level of agreement with the following statements:
The tour is a helpful experience toward understanding U.S. history.

28 How likely are you to express your thoughts about the U.S. Capitol Visitor Center in the next 90 days?
9 The tour covers its objectives.


Community Service (1=Very Unlikely, 10=Very Likely)

Communication (1=Poor, 10=Excellent)

29 How likely are you to donate time and effort to community service in your local area?
11 Thinking about your tour guide, please rate how well the guide performed in the following areas:
Communication - Accuracy of information provided about things viewed at the Capitol.



12 Ability to clearly communicate content and information throughout the tour.




Engagement (1=Poor, 10=Excellent)



14 Engagement - Promptness to acknowledge questions and comments.



15 Respect for traditions, cultures, and needs of visitors and guests.




Interactivity (1=Poor, 10=Excellent)



17 Interactivity - The capacity to connect content with questions and discussions during the tour.



18 The skill of the guide to create involvement among members of the tour group.




Tour Guide (1=Strongly Disagree, 10=Strongly Agree)



20 Please rate your level of agreement with the following statements:
The tour guide was responsive to the questions and needs arising during the tour.



21 The tour guide was enthusiastic about my participation at the U.S. Capitol.
































Sheet 6: Custom Questions (All)
Model Instance Name:

red & strike-through: DELETE








CVC Tour

underlined & italicized: RE-ORDER








MID: MswBBENZcR8FIZ4o1RFBIw==
pink: ADDITION










blue + -->: REWORDING








Date: #VALUE!










CVC Tour CUSTOM QUESTION LIST


QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)		 Skip to Type (select from list) Single or Multi Required
Y/N		 Special Instructions CQ Label Denise.Philips: This is internal, to assist me and the clients. You can ignore. CQ TYPE

CJI0053
Who guided you on your U.S. Capitol Tour? A staff member of a Representative’s office
Drop down, select one Single Y Skip Logic Group Tour Type TOUR




A staff member of a Senator’s office











A U.S. Capitol Visitor Guide X







CJI0054 X I was satisfied with the experience provided by my U.S. Capitol Visitor Guide. Strongly agree U Drop down, select one Single Y Skip Logic Group TG Sat TOUR




Agree U










Disagree T










Strongly disagree T










Not sure








CJI0055 U Please provide any additional comments about your tour experience.

Text area, no char limit
N Skip Logic Group OE TG Sat High TOUR

CJI0056 T Please tell us, in as much detail as possible, what you didn’t like so that we can attempt to correct any concerns you may have had.

Text area, no char limit
N Skip Logic Group OE TG Sat Low TOUR

CJI0057
If you could make one suggestion to improve your tour experience, what would it be?

Text area, no char limit
N
OE_Improvement TOUR

CJI0058
What was the approximate size of the entire group that was led by your tour guide? Under 10
Radio button, one-up vertical Single Y
CVC Group - Size TOUR




10-20











20-30











30-40











40-50











More than 50








CJI0059
Approximately how much time did you spend touring the U.S. Capitol? Less than 15 minutes
Drop down, select one Single Y
Time Tour TOUR




15 - 30 minutes











30 - 45 minutes











More than 45 minutes








CJI0073
Which of the following roles best describes you at the time of your visit? Teacher / Professor F Radio button, one-up vertical Single Y Skip Logic Group CVC Role CVC




Student











Adult accompanying a child/children (ex: parent or guardian)











Congressional staff member











Tour organizer











Interested citizen (ex: tourist, family member, senior citizen, etc.)











International Visitor











Other (please specify) D







CJI0074 F What level of students do you teach? Elementary School
Radio button, one-up vertical Single Y Skip Logic Group CVC Teacher CVC




Middle School











High School











College - Undergraduate











College - Post graduate











Prefer not to answer








CJI0075 D What do you consider your role?


Single Y Skip Logic Group CVC Other_Role CVC

CJI0076
Did you arrive at the U.S. Capitol as part of a group? Yes, I was part of a group (school, family, tourist group, etc.). O, P Radio button, one-up vertical Single Y Skip Logic Group CVC Tour Group CVC




No, I arrived alone (as an individual).








CJI0077 O What was the approximate size of the entire group that you arrived to the Capitol with? Under 10
Radio button, one-up vertical Single Y Skip Logic Group CVC Group - Size CVC




10-20











20-30











30-40











40-50











More than 50








CJI0078 P Which of the following best describes the type of group you arrived at the Capitol with? School group T Radio button, one-up vertical Single Y Skip Logic Group Tour Group - Type CVC




Family T










Senior citizen group











International visitor group











Other (please specify) K







CJI0079 T What were the age(s) of the children/students in your group? (Please select all that apply.) Under 5 years old
Checkbox, two-up vertical Multi Y Skip Logic Group CVC Children's Ages CVC




5-7 years old











8-10 years old











11-13 years old











14-17 years old











Over 17 years old











Prefer not to answer
8889






CJI0080 K What other type of tour group were you part of?

Text area, no char limit
N Skip Logic Group CVC Other_Tour Group CVC

CJI0081
What was the reason(s) you decided to visit the U.S. Capitol? (Please select all that apply.) To learn about the history of the U.S. Capitol.
Checkbox, one-up vertical Multi Y Skip Logic Group CVC Primary Reason CVC




To view the art and architecture of the U.S. Capitol building.











To learn about Congress and how it functions.











To visit the House or Senate Chambers in session.











To be able to ask questions to a knowledgeable person about the U.S. Capitol.











To simply be a tourist. I was curious and wanted to explore the U.S. Capitol.











I did not decide to visit the U.S. Capitol. It was part of my tour itinerary.











Other (please specify) B







CJI0082 B What was the other reason you decided to visit the Capitol?

Text area, no char limit
N Skip Logic Group CVC Other_Reason CVC

CJI0085
Approximately how much time did you spend overall at the U.S. Capitol Visitor Center? Less than 1 hour
Radio button, one-up vertical Single Y
CVC Time CVC




1 - 1 1/2 hours











1 1/2 - 2 hours











2 - 3 hours











More than 3 hours








CJI0086
How often do you visit the U.S. Capitol? This is my first time
Radio button, one-up vertical Single Y
CVC Frequency CVC




Less than once a year











Once a year











Multiple times a year








CJI0089
At what time of day did you visit the U.S. Capitol? (Please select all that apply.) Early morning
Checkbox, one-up vertical Multi Y
CVC Time of day CVC




Late morning











Early Afternoon











Late Afternoon








CJI0090
Which day of the week did you visit the U.S. Capitol? Monday
Radio button, one-up vertical Single Y
CVC Day CVC




Tuesday











Wednesday











Thursday











Friday











Saturday








CJI0091
How recently did you visit the U.S. Capitol? Within a week
Radio button, one-up vertical Single Y
CVC Timeframe CVC




Within a month











Within the past 6 months











Within the past year








CJI0096
Did the U.S. Capitol Visitor Center staff (excluding tour guides - ex: workers at the coat check, entrance, etc.) meet or exceed your expectations? Yes, the staff met or exceeded my expectations.
Radio button, one-up vertical Single Y Skip Logic Group CVC Assistants CVC




No, the staff did not meet my expectations. M







CJI0097 M Which of the following staff members at the U.S. Capitol Visitor Center fell below your expectations? (Please select all that apply.) Coat Check
Checkbox, two-up vertical Multi Y Skip Logic Group CVC Assistants - Short CVC




Entrance / Greeting Area











Exhibition Hall











Security











Theater











Other (Please specify) N







CJI0098 N What other staff members fell below your expectations?

Text area, no char limit
N Skip Logic Group CVC Other_Assistants CVC

CJI0099
Would you like to provide additional comments about an interaction with a staff member? If so, please provide as much detail as possible here.

Text area, no char limit
N
CVC OE_Assistants CVC

CJI0102
What is your overall satisfaction with the entire U.S. Capitol Visitor Center experience? 1=Very Dissatisfied
Radio button, scale, no don't know Single Y
CVC Overall Satisfaction CVC




2











3











4











5











6











7











8











9











10=Very Satisfied








CJI0104
If you could make one suggestion to improve the entire U.S. Capitol Visitor Center experience, what would it be?

Text area, no char limit
N
CVC OE_Improvement CVC

ACQhar0014870
Would you be willing to answer a few additional questions? Yes AA, BB, CC, DD, EE Radio button, one-up vertical Single Y Skip Logic Group Additional Questions TOUR




No








CJI0065 AA Where do you currently live? I live outside of the United States. A Drop down, select one Single Y Skip Logic Group CVC State CVC




Alabama











Alaska











Arizona











Arkansas











California











Colorado











Connecticut











Delaware











District of Columbia











Florida











Georgia











Hawaii











Idaho











Illinois











Indiana











Iowa











Kansas











Kentucky











Louisiana











Maine











Maryland











Massachusetts











Michigan











Minnesota











Mississippi











Missouri











Montana











Nebraska











Nevada











New Hampshire











New Jersey











New Mexico











New York











North Carolina











North Dakota











Ohio











Oklahoma











Oregon











Pennsylvania











Rhode Island











South Carolina











South Dakota











Tennessee











Texas











Utah











Vermont











Virginia











Washington











West Virginia











Wisconsin











Wyoming











American Samoa











Federated States of Micronesia











Guam











Midway Islands











Northern Mariana Islands











Puerto Rico











Republic of Palau











Republic of the Marshall Islands











U.S. Virgin Islands











Prefer not to answer








CJI0066 A What country do you live in? Afghanistan
Drop down, select one Single Y Skip Logic Group CVC Country CVC




Albania











Algeria











Andorra











Angola











Antigua and Barbuda











Argentina











Armenia











Australia











Austria











Azerbaijan











Bahamas, The











Bahrain











Bangladesh











Barbados











Belarus











Belgium











Belize











Benin











Bhutan











Bolivia











Bosnia and Herzegovina











Botswana











Brazil











Brunei 











Bulgaria











Burkina Faso











Burma











Burundi











Cambodia











Cameroon











Canada











Cape Verde











Central African Republic











Chad











Chile











China











Colombia











Comoros











Congo (Brazzaville)











Congo (Kinshasa)











Costa Rica











Cote d'Ivoire











Croatia











Cuba











Cyprus











Czech Republic











Denmark











Djibouti











Dominica











Dominican Republic











East Timor











Ecuador











Egypt











El Salvador











Equatorial Guinea











Eritrea











Estonia











Ethiopia











Fiji











Finland











France











Gabon











Gambia, The











Georgia











Germany











Ghana











Greece











Grenada











Guatemala











Guinea











Guinea-Bissau











Guyana











Haiti











Holy See











Honduras











Hong Kong











Hungary











Iceland











India











Indonesia











Iran











Iraq











Ireland











Israel











Italy











Jamaica











Japan











Jordan











Kazakhstan











Kenya











Kiribati











Korea, North











Korea, South











Kosovo











Kuwait











Kyrgyzstan











Laos











Latvia











Lebanon











Lesotho











Liberia











Libya











Liechtenstein











Lithuania











Luxembourg











Macau











Macedonia











Madagascar











Malawi











Malaysia











Maldives











Mali











Malta











Marshall Islands











Mauritania











Mauritius











Mexico











Micronesia











Moldova











Monaco











Mongolia











Montenegro











Morocco











Mozambique











Namibia











Nauru











Nepal











Netherlands











Netherlands Antilles











New Zealand











Nicaragua











Niger











Nigeria











North Korea











Norway











Oman











Pakistan











Palau











Palestinian Territories











Panama











Papua New Guinea











Paraguay











Peru











Philippines











Poland











Portugal











Qatar











Romania











Russia











Rwanda











Saint Kitts and Nevis











Saint Lucia











Saint Vincent and the Grenadines











Samoa











San Marino











Sao Tome and Principe











Saudi Arabia











Senegal











Serbia











Seychelles











Sierra Leone











Singapore











Slovakia











Slovenia











Solomon Islands











Somalia











South Africa











South Korea











South Sudan











Spain











Sri Lanka











Sudan











Suriname











Swaziland











Sweden











Switzerland











Syria











Taiwan











Tajikistan











Tanzania











Thailand











Timor-Leste











Togo











Tonga











Trinidad and Tobago











Tunisia











Turkey











Turkmenistan











Tuvalu











Uganda











Ukraine











United Arab Emirates











United Kingdom











Uruguay











Uzbekistan











Vanuatu











Venezuela











Vietnam











Yemen











Zambia











Zimbabwe











Other (Please specify) B










Prefer not to answer








CJI0067 B Where do you live?

Text field, <100 char
N Skip Logic Group CVC Other_Country CVC

CJI0068 BB Which of the following best describes your race or ethnic background? (Please select all that apply.) African American or Black
Checkbox, two-up vertical Multi Y Skip Logic Group CVC Race CVC




American Indian or Alaska Native











Asian











Hispanic or Latino











Native Hawaiian or Other Pacific Islander











White or Caucasian (Not Hispanic or Latino)











Other (Please specify) C










Prefer not to answer
8889






CJI0069 C What is your race or ethnic background?

Text field, <100 char
N Skip Logic Group CVC Other_Race CVC

CJI0070 CC What is your gender? Male
Radio button, one-up vertical Single Y Skip Logic Group CVC Gender CVC




Female











Prefer not to answer








CJI0071 DD What is your age? Under 18
Radio button, one-up vertical Single Y Skip Logic Group CVC Age CVC




18-24











25-34











35-44











45-54











55-64











65 or older











Prefer not to answer








CJI0072 EE Which of the following best describes the highest level of education you have attained? I have not graduated from high school.
Radio button, one-up vertical Single Y Skip Logic Group CVC Education CVC




High school graduate











Some college, trade, technical or vocational training











College graduate











Post graduate degree











Prefer not to answer








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File Modified0000-00-00
File Created0000-00-00
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