OMB Control No. 0560-0265
OMB Expiration Date: 11/30/2020
Farm Service Agency Customer Satisfaction Survey
In which state is the Farm Service Agency (FSA) office that you most recently contacted or visited? (dropdown list selection)
In which city or town is the office that you most recently contacted or visited? ________________________________________________(fill-in free-form text)
What is your role, if any, in farming or ranching? (Mark one of the following that best applies to you.)
Farmer or rancher
Farmland or ranchland owner, but not a farmer or rancher
Farm manager, employee, or worker
Not involved in farming or ranching.
How many years have you been involved in farming or ranching? (Mark one of the following that best applies to you.)
Less than one year
1 to 10 years
11 to 20 years
21 to 30 years
More than 30 years
Not applicable.
If you are a farmer or rancher, what do you produce? (Mark all that apply to you.)
Aquaculture
Milk and other dairy products
Poultry (including eggs)
Specialty livestock (including bison, honey, and mink)
Livestock, not considered specialty (including cattle, hogs, sheep, goats, and horses)
Other livestock not listed: __________________________
Field crops and hay (including feed grains)
Fruits, vegetables, berries, and nuts
Floriculture, nursery, Christmas trees, and sod
Other crops or agricultural production not listed: __________________________
Custom farming or custom livestock feeding.
If you have an occupation other than or in addition to farming or ranching, which of the following choice best describes it? (Mark one of the following that best applies to you)
Agricultural business
Non-agricultural business
Education
Government
Non-governmental organization
Other: ______________________________________________________
Not applicable.
What is your business relationship with FSA? (Mark one of the following that best applies to you)
FSA program customer or participant
Representative of an FSA program customer or participant
New customer (not previously an FSA program customer or participant
FSA partner organization, agricultural stakeholder, or crop insurance affiliate
Other: ______________________________________________________
How did you find out about or what brought you to FSA? (Mark one that bests applies to your most recent visit.)
Preexisting customer in for routine business
FSA Outreach event, such as an FSA meeting, conference, or workshop
Word of mouth from a friend, family member, neighbor, teacher, colleague, or non-FSA event
Broadcast Media, such as radio, TV, public service announcement, or Internet
Direct or electronic mail, such as postcard, letter, GovDelivery email, or text
Print media, such as newspaper, brochure, or magazine
Other USDA official referral, such as from NRCS, RMA, RD, AMS, etc.
Agricultural organization referral, such as Extension Service, community based organization, producer association, or commodity group, etc.
Other: ______________________________________________________
How do you prefer to receive information from FSA? (Mark all that apply.)
U.S. Mail, such as postcards, letters, and newsletters
Text messaging
Social Media
Broadcast Media, such as radio, TV, public service announcement, or Internet
Print media, such as newspaper, brochure, or magazine
Customer self-service, such as through a public Web site or secure customer portal
Other: ______________________________________________________
How frequently do you contact or visit any FSA office? (Mark one that best applies to you.)
This was my first time
At least monthly
Up to 6 times per year
Less than 1 time per year.
What was the primary reason for your most recent contact or visit to the FSA office? (Mark all that apply to you)
Inquire about FSA farm programs or services
Apply for a farm program or service
Inquire about FSA farm loan programs
Apply for a farm loan
Inquire
about other USDA programs or services
Please
describe:_________________________________________________
Inquire
about specific agricultural resources, referrals, or information
available through FSA’s Bridges
to Opportunity
service
Please describe:
_________________________________________________
Obtain
general information about agriculture
Please describe:
_________________________________________________
Other
information
Please describe:
_________________________________________________
What other USDA programs or services have you used? (Mark all that apply.)
Agricultural marketing services
Conservation technical assistance, loans, or grants
Home loans
Organic certification cost share programs
Risk management or crop insurance
Rural business loans or grants
Rural Energy for America Program (REAP)
Value-added producer grants
Other: _________________________________________________________
Thinking about the FSA personnel you interacted with during your most recent contact or visit to the FSA office, how satisfied are you with their competence, knowledge, responsiveness, and courtesy? (Please rate using the following selections: 5-Very satisfied; 4-Satisfied; 3-Neutral; 2-Dissatisfied; 1-Very dissatisfied; Not applicable.)
Thinking about the program, service, information, or benefit you received during your most recent contact or visit to the FSA office, how satisfied are you with its usefulness, quality, timeliness, and documentation? (Please rate using the following selections: 5-Very satisfied; 4-Satisfied; 3-Neutral; 2-Dissatisfied; 1-Very dissatisfied; Not applicable.)
If you were referred to an FSA partner as part of FSA’s Bridges to Opportunity service during your most recent contact or visit to the FSA office, how satisfied are you with the usefulness, quality, timeliness, and documentation aspects of the referral? (Please rate using the following selections: 5-Very satisfied; 4-Satisfied; 3-Neutral; 2-Dissatisfied; 1-Very dissatisfied; Not applicable.)
Please provide any additional comments regarding the most recent service the FSA office provided to you and/or how FSA might improve its overall customer service: __________________________________________________________________________________
If you would like an FSA official to contact you regarding the service provided to you during your most recent contact or visit to the FSA office, please provide your name, along with how and when you would like to be contacted:
Name:______________________________________________________________________
Telephone/Email/Mailing Address:_______________________________________________
Preferred day/time:____________________________________________________________
Thank you for your feedback today! The information you have provided will help FSA enhance its customer service nationwide.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0286. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Schafer, Glenn - FSA, Washington, DC |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |