Energy Star

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Revision)

2434ss49 Energy Star survey

Energy Star

OMB: 2010-0042

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EPA ICR # 2434.49, OMB # 2010-0042

2016 ENERGY STAR Partner of the Year Awards Satisfaction Survey

EPA is interested in receiving your voluntary feedback about the April 13, 2016 ENERGY STAR Partner of the Year Awards event. Participation in this survey is completely voluntary for the 973 attendees of the event, and will be used to improve the quality of services at future similar events. Each question includes a scale from 1 (very dissatisfied) to 5 (very satisfied) with 6 included (no basis to judge), EXCEPT for question #4 which has a different scale about length, and questions #6 and #7 provide open-ended comment boxes for you to provide your qualitative feedback. Thank you!

  1. How satisfied were you with the recognition provided by the Sustained Excellence awards processional (the first major category of awards that were given)?
    1: very dissatisfied, 2: dissatisfied, 3: neither dissatisfied nor satisfied, 4: satisfied, 5 very satisfied, 6: no basis to judge

[insert comment box with directions: “optional: tell us more”]


  1. How satisfied were you with the sound levels in the ballroom?
    1: very dissatisfied, 2: dissatisfied, 3: neither dissatisfied nor satisfied, 4: satisfied, 5 very satisfied, 6: no basis to judge
    [insert comment box with directions: “optional: tell us more”]


  2. How satisfied were you with the visuals (video/PowerPoint/monitors) in the ballroom?
    1: very dissatisfied, 2: dissatisfied, 3: neither dissatisfied nor satisfied, 4: satisfied, 5 very satisfied, 6: no basis to judge
    [insert comment box with directions: “optional: tell us more”]


  3. [*Please note the answers to this question are different.] How satisfied were you with the length of the ceremony?
    1: too long, 2: somewhat long, 3: just right, 4: somewhat short, 5: too short 6: no basis to judge
    [insert comment box with directions: “optional: tell us more”]


  4. Overall, how satisfied were you with the event?
    1: very dissatisfied, 2: dissatisfied, 3: neither dissatisfied nor satisfied, 4: satisfied, 5 very satisfied, 6: no basis to judge


  5. Please let us know what went well at the event.
    [insert comment box]


  6. Please let us know what could be improved next year.
    [insert comment box]

    Thank you again for completing this survey.


If you have any questions or concerns about this survey, please contact:


Kristinn Leonhart Email: [email protected]

U.S. Environmental Protection Agency Phone: (202) 343-9062

1200 Pennsylvania Avenue, NW

Washington, DC 20460

Mail Code 6202A




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