PILOT SURVEY
OMB Control N0: 1615-0126 Expiration Date 05/31/2018
U.S. Citizenship and Immigration Services
FIELD OPERATIONS DIRECTORATE FOCUS GROUP ON CUSTOMER SATISFACTION
Paperwork Reduction Act Statement
An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 15 minutes per response. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Research and Evaluation Division, 20 Massachusetts Ave, Washington, DC 20529. OMB No. 1615-0126. Do not return the completed form to this address.
Check here to acknowledge that you are at least 18 years old:
Check here to acknowledge that your participation is voluntary:
What was the main reason for your recent visit to this field office? [PLEASE CHECK ONLY ONE]
Ask a question or try to resolve a problem GO TO QUESTION 2
An interview SKIP TO QUESTION 3
Please complete the sentence.
I needed to ask a question or get information about…. [PLEASE CHECK ALL THAT APPLY]
Evidence of my immigration status
Immigration forms
Status of my case
Employment Authorization Card
An order from an Immigration Court
Emergency permission to travel (Advance Parole)
Expedited processing of an immigration benefit application
Other: (Please explain) _______________________________________________
How did you schedule your appointment?
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SKIP TO QUESTION 5 |
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SKIP TO QUESTION 5 |
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Strongly disagree 1 |
disagree 2 |
agree 3 |
Strongly agree 4 |
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very difficult 1 |
difficult 2 |
easy 3 |
very easy 4 |
Not Applicable |
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How did you come to the office?
I walked
By public transportation – bus, train, subway, or taxi
How easy or difficult was it to come to this office using public transportation?
very difficult |
difficult |
easy |
very easy |
By car - I drove or somebody drove me
How easy or difficult was it to find a place to park?
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Strongly disagree 1 |
disagree 2 |
agree 3 |
Strongly agree 4 |
Not Applicable |
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[IF YOU DIDN’T USE THE BATHROOMS DURING YOUR VISIT, CHECK “Not Applicable”] |
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poor 1 |
fair 2 |
good 3 |
very good 4 |
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none 1 |
a little 2 |
a lot 3 |
all 4 |
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How much of what you needed to accomplish during your visit today were you able to complete?
Did not complete any of it |
Completed some of it |
Completed most of it |
Completed all of it |
Please tell us why you were not able to complete what you needed to accomplish during your visit today.
I Completed All That I Needed to Accomplish Today. SKIP TO QUESTION 11
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Please consider your overall experiences during this visit to the USCIS Field Office.
Overall, how satisfied are you with the service(s) provided by this field office?
Please use a 10-point scale on which "1" means "very dissatisfied” and "10" means, "very satisfied."
very dissatisfied |
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very satisfied |
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To what extent has this field office’s services met your expectations?
Please use a 10-point scale on which "1" means "not met your expectations" and "10" means "exceeds your expectations."
not met my expectations |
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exceeded my expectations |
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How well this field office’s services compare with the ideal government office?
Please use a 10-point scale on which "1" means "Not very close to the ideal" and "10" means "Very close to the ideal."
not very close to the ideal |
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very close to the ideal |
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What can this office do to improve its service to you?
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V.4.14.16 ---- FOR INTERNAL
USE ONLY DO NOT DISTRIBUTE--- Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Little, Sonia Lisbeth J |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |