American Citizens Survey (ACS) Applicant Satisfaction Survey

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U.S. Department of State American Citizen Services Applicant Satisfaction
Survey
We ask that you take a brief survey to assess your experience with the United States consular section at the U.S.
Embassy in London. Your responses will be kept private and not associated with you or your case. We are only
conducting this survey to improve our service. OMB No: 1405-0193 Expiration Date: 07/31/2017
Estimated Burden: 3
minutes SV-2015-0005
01

Indicate service received:

o
o

o

o

U.S. Passport
Consular

Report of Birth Abroad

Notary Services
Other

If other, please specify

Preparing for your appointment
02

How did you obtain information to prepare for your appointment? Check all that apply.

o

Family member or friend

o
o
o
o
o
o
o

Attorney/Notary
Consultant
U.S. Department

of State website (travel.state.gov)

Embassy

London website

Embassy

London by phone or email

Social media (e.g., Facebook,

Twitter)

Other

If other, please specify

03

Did you need help in completing the forms?

o
o
o
o
o
o

No
Yes. by a family member or friend
Yes, by an attorney/notary
Yes, by contacting

Embassy

London by phone or email

Yes, other
No forms were required for the service I received.

If other, please specify

04

If you used the Embassy London website, were instructions and requirements clear (i.e., documents needed for
appointment, items allowed inside the Embassy)?

o
o

o
05

Yes
No
I did not use the Embassy's

website.

Prior to your appointment, which of the following would you have liked to receive additional information about?

o
o
o
o
o
o

What to expect at the appointment
Prohibited

(Le., the security

items that are not allowed

Supporting

documentation

Information

on how to change appointment

Document

required

process,

waiting room experience,

parking,

appointment

time and duration)

in the Embassy
(e.g., proof of identity. birth certificate)
time

delivery service

Other

If other, please specify

Appointment

Scheduling

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06

Was it convenient to make an appointment for the date and time you wanted?

o
o
o

Yes
No, I needed an earlier appointment
No, other

date, and one was not available,

_-

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u.s. Department of State American Citizen Services Applicant Satisfaction
Survey
If other, please specify

Q7

If it was difficult for you to schedule or reschedule your appointment please indicate why. Check all that apply.
The scheduling

or rescheduling

process was confusing.

I do not have access to, or use the internet.
I had to call the Embassy.
Other

If other, please specify
I"

During the appointment
Q8

Please rate your visit to Embassy London.
Excellent
Courtesy

of the guards

Courtesy

of the consular

SatlsfactolY

Needs

Improvement

staff

Answers to your questions
()

Explanation

regarding

your case

Cleanliness

and comfort of the waiting room

(

Duration of wait lime

Q9

Please use the space below for any additional suggestions on what we could improve.

Public reporting burden for this collection of Information is estimated to average 3 minutes per response. Including time required for searching existing
data sources, gathering the necessary documentation.
providll1g the information and/or documents required. and reviewing the final collection.
You do
not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this
burden estimate and/or recommendations
for reducing it. please send them to: Department of State. Bureau of Consular Affairs, ATTN CAiEX. 600 19th
Street. N.w .. Washington. DC 20036.

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