Form 1164 2015 919 MyUSCIS Questionnaire

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Overview

Welcome and Thank You Text
Model Qsts
Current CQs

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Sheet 1: Welcome and Thank You Text

Welcome and Thank You Text
	Welcome Text			Thank You Text
	Thank you for visiting [Company/Site/Agency]. You've been randomly chosen to take part in a brief survey to 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 online experience possible.			Thank you for taking our survey - and for helping us serve you better. We appreciate your input!
	Welcome Text - Alternate			Thank You Text - Alternate
	Thank you for visiting [Company/Site/Agency]. You have been randomly selected to take part in this survey that is being conducted by ForeSee on behalf of the [Company/Site/Agency]. Please take a few minutes to give us your feedback. All results are strictly confidential.			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 web site.

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Sheet 2: Model Qsts

Model Name		MyUSCIS			Red & Strike-Through: Delete
Model ID					Underlined & Italicized: Re-order
Partitioned		Yes			Pink: Addition
Date		2/11/2015			Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
	Look and Feel - Appeal	Please rate the visual appeal of this site.		Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		Return	How likely are you to return to this site in the future?
	Look and Feel - Balance	Please rate the balance of graphics and text on this site.		Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
	Look and Feel - Readability	Please rate the readability of the pages on this site.		Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		Recommend	How likely are you to recommend this site to someone else?
		Site Performance (1=Poor, 10=Excellent, Don't Know)						Primary Resource (1=Very Unlikely, 10=Very Likely)
	Site Performance - Loading	Please rate how quickly pages load on this site.					Primary Resource	How likely are you to use this site as your primary resource for all your immigration needs?
	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
	Site Performance - Completeness	Please rate how completely the page content loads on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
	Navigation - Organized	Please rate how well the site is organized.
	Navigation - Options	Please rate the options available for navigating this site.
	Navigation - Layout	Please rate how well the site layout helps you find what you need.
		Information Browsing (1=Poor, 10=Excellent, Don't Know)
	Information Browsing - Sort	Please rate the ability to sort information by criteria that are important to you on this site.
	Information Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on this site.
	Information Browsing - Features	Please rate how well the features on the site help you find the information you need.
		Site Information (1=Poor, 10=Excellent, Don't Know)
	Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.
	Site Information - Understandable	Please rate how understandable this site’s information is.
	Site Information - Answers	Please rate how well the site’s information provides answers to your questions.

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Sheet 3: Current CQs

Model Name	MyUSCIS		Red & Strike-Through: Delete
Model ID	0		Underlined & Italicized: Re-order
Partitioned	Yes		Pink: Addition
Date	1/11/2015		Blue: Reword
QID	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label
		How frequently do you visit this site?	This is my first time on the site		Y	Drop down, select one		Frequency
			Daily
			Weekly
			Monthly
			Every 2 months or less often
		What best describes your role when visiting this site?	U.S. born citizen		Y	Drop down, select one		Role
			Naturalized U.S. citizen
			Permanent Resident (green card holder)
			Conditional Resident
			Family member or friend of applicant
			Citizen of a foreign country
			Fiancé K-1
			Visitor/nonimmigrant
			Temporary Worker
			Student or Exchange Visitor
			Employer
			Attorney/representative
			Community organization
			Other
		What is your primary reason for visiting the site today?	Become a U.S. citizen		Y	Radio button, one-up vertical		Reason
			Get a Green Card (Permanent Resident Card)
			Renew or replace my Green Card
			Help a family member get a green card
			Help a relative get a green card
			Remove my conditional status
			Adopt a child living abroad
			Get proof of my citizenship
			Replace my Naturalization/Citizenship Certificate
			Change to another nonimmigrant status
			Extend my nonimmigrant stay
			Petition for a spouse
			Petition for a fiancé
			Work in the U.S.
			Apply for deferred action
			Apply for a visa
			Create an account with myUSCIS
			View my account with myUSCIS
			Other
		Were you able to complete your task during your visit today?	Yes		Y	Radio button, one-up vertical	Skip Logic Group*	Task
			Partially	A
			No	A
	A	What prevented you from completing your task today?			N	Text area, no char limit	Skip Logic Group*	Incomplete task
		What feature(s) of the site did you utilize today?	My personal account		Y	Checkbox, one-up vertical		Features
			Tools for benefit options
			Online application forms
			Case Status
			Intelligent Virtual Assistant (IVA)
			Just browsed the site at this time
			Other
		Which of the following statements describes your experience while reviewing the site information?	There were no issues with the site information		Y	Checkbox, one-up vertical		Information
			Information was not up to date
			Information did not answer my questions
			Language was not clear and concise
			Wording used was not easily understood
			Other
		Did you find the information you were looking for today?	Yes		Y	Radio button, one-up vertical	Skip Logic Group*	Find info
			Partially	A
			No	A
	A	Please specify the information you were trying to find.			N	Text area, no char limit	Skip Logic Group*	No info found
		Please tell us how likely you are to call the 1-800 number following your site visit today?	Very likely		Y	Radio button, one-up vertical		1-800 number
			Somewhat likely
			Not at all likely
			Not sure
		Did you have any navigational issues today?	Yes	A	Y	Radio button, one-up vertical	Skip Logic Group*	Navigation
			No
	A	Please describe the navigational issue you experienced today.			N	Text area, no char limit	Skip Logic Group*	Navigation issue
		If you could make one improvement to this site, what would it be?			N	Text area, no char limit		Improvement
		On whose behalf are you looking for information today?	Myself		N	Drop down, select one		Behalf
			Family member/relative
			Friend
			Client
			Student
			Fiancé
			Employer/employee
			Other
		What is your gender?	Female		N	Radio button, one-up vertical		Gender
			Male
			I prefer not to respond
		Please select the category that includes your age?	17 and under		N	Drop down, select one		Age
			18 – 24
			25 – 34
			35 – 44
			45 – 54
			55 – 64
			65 and over
			I prefer not to respond
		Where do you currently reside?	USA		N	Radio button, one-up vertical		Reside
			Outside of USA
			I prefer not to respond
		Please specify your country of origin.	United States of America		N	Drop down, select one		County of origin
			Afghanistan
			Albania
			Algeria
			Andorra
			Angola
			Anguilla
			Antigua and Barbuda
			Argentina
			Armenia
			Australia
			Austria
			Azerbaijan
			Bahamas, The
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			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
			Cook Islands
			Costa Rica
			Côte d'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Democratic Republic of the Congo
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			Timor Leste
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Fiji
			Finland
			France
		Gabon
		Gambia, The
		Gaza
		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
		Norway
		Oman
		Pakistan
		Palau
		Panama
		Papua New Guinea
		Paraguay
		Peru
		Philippines
		Poland
		Portugal
		Qatar
		Romania
		Russia
		Rwanda
		Samoa
		San Marino
		Sao Tome and Principe
		Saudi Arabia
		Senegal
		Serbia
		Seychelles
		Sierra Leone
		Singapore
		Slovakia
		Slovenia
		Solomon Islands
		Somalia
		South Africa
		Spain
		Sri Lanka
		St. Kitts and Nevis
		St. Lucia
		St. Vincent and the Grenadines
		Sudan
		Suriname
		Swaziland
		Sweden
		Switzerland
		Syria
		Taiwan
		Tajikistan
		Tanzania
		Thailand
		Togo
		Tonga
		Trinidad and Tobago
		Tunisia
		Turkey
		Turkmenistan
		Tuvalu
		Uganda
		Ukraine
		United Arab Emirates
		United Kingdom
		Uruguay
		Uzbekistan
		Vanuatu
		Venezuela
		Vietnam
		West Bank
		Yemen
		Zambia
		Zimbabwe
		I prefer not to respond