Digital & Customer Care Platform & Services Design Research Screener Question Pool

DIGITAL & CUSTOMER CARE PLATFORM & SERVICES

Design RESEARCH SCREENER Questions

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Digital & Customer Care Platform & Services

April 4, 2019 | Version 2

Federal Student Aid User Research Participant Recruiting Questionnaire

We are recruiting parents, students, and borrowers for user experience research studies.

Register today to share feedback to improve the FAFSA form and federal student aid experience.

These questions allow us to better match you with specific feedback sessions. Only answer questions you feel comfortable with, but the more information we have the better our matches will be. We will only use your address and phone number to coordinate your participation in the study.

Respondent burden: 6 minutes

OMB Control #: 1845-0045

Expiration date: 9-30-2019

Survey Disclaimer: According to the Paperwork Reduction Act of 1995, no persons are 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 1845-0045. The time required to complete this information collection is estimated to average 6 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. The obligation to respond to this collection is voluntary. If you have comments or concerns regarding the status of your individual submission of this survey, please contact the Office of Federal Student Aid 830 First Street NE Washington DC 20202 directly.

Screening questions

	Screener Question POOL	Yes	No
1	Would you be willing to participate in an interview?	Proceed	Exclude
2	How would you rate your fluency in English?
	Native	Proceed	Exclude
	Fluent	Proceed	Exclude
	Conversational	Proceed	Exclude
	Beginner	Exclude	Proceed
3	Are you currently living in the U.S.? If yes, what state/territory?	Proceed	Next Question
	Would you be willing to be interviewed over the phone or through video conferencing?	Proceed	Exclude
4	Are you under 18?	Proceed	Exclude
5	How many times have you filled out the FAFSA form?
	0	Proceed	Proceed
	What are your reasons for choosing not to?	[Text Field]
	1	Proceed	Proceed
	2-4	Proceed	Proceed
	5+	Proceed	Proceed
6	Have you ever participated in a market research discussion group or individual interview with the Department of Education or Federal Student Aid before?	Proceed	Proceed
6a	When was the last time you participated in a market research discussion group or individual interview?
	Within the past 3 months	Exclude	Proceed
	3 months–year	Proceed	Proceed
	Over one year ago	Proceed	Proceed
7	What is the highest level of education you have completed?
	Some high school	Exclude	Proceed
	High school graduate	Proceed	Proceed
	Some college	Proceed	Proceed
	College graduate (4-year or 2-year college)	Proceed	Proceed
	Some grad school	Proceed	Proceed
	Post-graduate degree	Proceed	Proceed
8	When did you graduate? [If 2-6 in question 7]
	0–5 months ago	Proceed	Proceed
	6–12 months ago	Proceed	Proceed
	1–2 years ago	Proceed	Proceed
	2+ years ago	Proceed	Proceed
	Don’t know/Not sure	Proceed	Proceed
9	Have you received financial aid from the federal government to help pay for school? (Check all that apply)
	Loans	Proceed	Proceed
	Grants	Proceed	Proceed
	Work-Study	Proceed	Proceed
	Not sure/Other	Proceed	Proceed

	LOAN QUESTION POOL [If 1 (“Loans”) is checked from question 10]
10	What types of loans have you received? (Check all that apply)
	Direct subsidized	Proceed	Proceed
	Direct unsubsidized	Proceed	Proceed
	Direct Parent PLUS	Proceed	Proceed
	Direct Grad PLUS	Proceed	Proceed
	Federal Perkins	Proceed	Proceed
	Stafford	Proceed	Proceed
	Direct Consolidated	Proceed	Proceed
	Not sure/Other	Proceed	Proceed
11	Have you started paying back your loans?
	Yes	Proceed	Proceed
	No	Proceed	Proceed
	Don’t know/Not sure	Proceed	Proceed
12	Which of the following best describes your situation in regard to making payments on your student loans?
	I am in a grace period	Proceed	Proceed
	I am making payments on time	Proceed	Proceed
	I am behind on my payments	Proceed	Proceed
	My loans are in default	Proceed	Proceed
	My loans are in deferment or forbearance	Proceed	Proceed
	I completed my payments	Proceed	Proceed

	EMPLOYMENT QUESTION POOL
13	Which of the following best describes your current employment situation?
	Employed full time	Proceed	Proceed
	Employed part time	Proceed	Proceed
	Not employed, seeking work	Proceed	Proceed
	Not employed, not seeking work	Proceed	Proceed
14	Which of the following best describes your employer? [If 1-2 from question 13]
	Government organizations (federal, state, local, or tribe)	Proceed	Proceed
	Not-for-profit organizations	Proceed	Proceed
	Private business	Proceed	Proceed
	Other	Proceed	Proceed
	Don’t know/Not sure	Proceed	Proceed

Demographic questions

Demographic question POOL

1

How old are you?

18–19

20–24

25–40

41+

2

Can you claim anyone as a dependent?

Yes

No

What is your dependent’s education level(s)? (Check all that apply)

Less than High School

High School or GED

Associate Degree

Bachelor’s Degree

Vocational or Other

Some college, No Degree

Other

3

Have you served in the military?

Yes

No

4

Are you of Hispanic or Latino origin?

Yes

No

5

What race do you most identify with? (Check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

6

What’s your parent’s education level?

Neither Parent Completed college or Beyond

One Parent Completed College or Beyond

Both Parents Complete College or Beyond

7

Marital Status?

Single

Married

Divorced

Other (Please Specify)

Other?

[Text Field]

8

Which bracket best describes your annual household income?

$0–25,000

$26,000 – 50,000

$51,000 – 75,000

$76,000 – 125,000

$126,000-150,000

$150,000+

Don’t know/Not sure

Prefer not to answer

9

Are you currently attending school?

Online

In-person

Both

Leave of Absence

Withdrew

Graduated

10

Are your dependents currently attending school? (Check all that apply) [If yes to question 2]

Two-year Public

Four-year Public

Two-year Private

Four-year Private

Proprietary

Vocational

Currently Enrolled POOL

1

What type of school did you apply to/were you enrolled in?

Two-year Public

Four-year Public

Two-year Private

Four-year Private

Proprietary

Vocational

2

Degree pursuing?

Certificate

1st Bachelors

Associate degree

Bachelors

Graduate

PhD

Undecided

3

Enrollment status/plan

Part-time

Full-time

Completed/Withdrew POOL

1

How much student debt do you have?

< $10,000

$10,001– $25,000

$25,001–$75,000

$75,001–$100,000

> $100,000

Unsure

2

What is your current repayment plan?

Standard

Income Driven Repayment (IDR)

Graduated Payment Plan

Extended Payment Plan

Unsure

IDR?

Don’t know/Unsure

Income-Based Repayment (IBR)

Income-Contingent Repayment (ICR)

Pay As You Earn (PAYE)

Revised Pay As You Earn (REPAYE)

3

Have you ever defaulted on your federal student loans?

Yes

No

	Contact POOL
1	Name
2	Email
3	Address	Street, Street 2, City, State, Zip
4	Phone

Additional Question Pool

1

Would you be willing to participate in usability testing of new Department of Education websites or apps?

Yes

No

2

What gender do you identify as?

Male

Female

Transgender

Not Listed

Prefer Not to Answer

3

Are you, or is anyone in your home, a government employee?

Yes

No

4

Do you use a computer?

Yes

No

5

About how many hours per week do you spend on the computer?

0 to 10

11 to 25

26+ hours per week

6

What computer platform/operating system do you usually use?

Mac OS

Microsoft Windows

iOS

Android

Other [text]

7

What Internet browser(s) do you usually use?

Chrome

Firefox

Safari

Internet Explorer

Edge

Other [text]

8

How did you hear about the opportunity to participate in Federal Student Aid research?

9

How do you typically access the internet? (Check all that apply)

Smartphone

Tablet

Personal Computer

Public or Shared Computer

Work Computer

10

Do you use any assistive devices, such as screen readers or braille display, to access the internet? (If no, leave blank)

Yes

No

What device?

[Text Field]

11

Have you or are you in the process of transferring schools?

Yes

No

Not sure

12

When do you anticipate graduating?

Less than 6 months

In 6 months–1 year

In more than 1 year

13

Have you considered the Public Service Loan Forgiveness program (PSLF)?

Yes, I am hoping to qualify

Yes, but I am not eligible

No, I am not interested

No, I don’t have enough information

17

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