Office of Weights and Measures Customer Satisifaction Survey

NIST Generic Request for Customer Service-Related Data Collections

0693-0031-Office.ofWeightsMeasures-CustSat-CollectionInstrument-2018Feb09.xlsx

Office of Weights and Measures Customer Satisifaction Survey

OMB: 0693-0031

Document [xlsx]
Download: xlsx | pdf
Directions: Please indicate your evaluation of each item by circling the appropriate score and











include additional comments where applicable. Use the bottom of the second page if necessary.
























1. Overall Satisfaction




Don't know or Doesn't Apply Disagree > > > > Agree
This (product or service) met my expectations: 0 1 2 3 4 5 6
I would recommend this (product or service) to others: 0 1 2 3 4 5 6













I liked the following thing best about the (product or service). Why?


























I liked the following thing least about the (product or service). Why?


























If I were to improve this (product or service) to make it more effective, I would:







































2. Satisfaction: Accessibility




Don't know or Doesn't Apply Inadequate Poor Acceptable Good Very Good Outstanding
Availability and format of (product or service) 0 1 2 3 4 5 6
Quality of visuals/audio/graphics or readability 0 1 2 3 4 5 6













3. Satisfaction: Responsiveness




Don't know or Doesn't Apply Inadequate Poor Acceptable Good Very Good Outstanding
Professionalism and courtesy of NIST staff 0 1 2 3 4 5 6
Timeliness of delivery of (product or service) 0 1 2 3 4 5 6
Ease of navigation/finding information 0 1 2 3 4 5 6













4. Satisfaction: Content




Don't know or Doesn't Apply Disagree > > > > Agree
The technical content was relevant and applicable to my work: 0 1 2 3 4 5 6
The depth and quality of information were appropriate: 0 1 2 3 4 5 6
The length of the entire (product or service) was appropriate:






The (product or service) will help/helped me to do my job: 0 1 2 3 4 5 6
The (product or service) was sufficiently interactive: 0 1 2 3 4 5 6













5. Learning




No Knowledge Somewhat Familiar Familiar Very Familiar Very Familiar/Able to implement and share examples Expert
My understanding of this topic prior to using this (product or service) was at this level: 0 1 2 3 4 5
I think my current understandng of this topic after using the (product or service) is at this level: 0 1 2 3 4 5













6. Application











Please describe three (3) things that you learned from this (product or service):
1)











2)











3)
























Please describe three (3) items that you will apply in the performance of your job:
1)











2)











3)
























May we contact you in 45 days to follow up on the application of this (product or service)?








Yes No
Contact Information:
Name:











Address:
























Phone/Email:






















7. Needs Assessment











I need the following additional information or materials to improve performance of my responsiblities:
























NOTE: This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the PRA unless that collection of information displays a currently valid OMB control number. Public reporting burden for this collection is estimated to be five 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. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing this burden, to the National Institute of Standards and Technology,
Attn: Isabel Chavez, [email protected], 301-975-2128. The OMB Control No. is 0693-0031, which expires on 05/31/2018.
45 Day Follow-Up Questions
























1. If you applied some aspect of this product/service, what did you apply and what has been the impact? Please describe.




















































2. If you have not applied any aspect of this product/service, but intended to do so, what are the barriers that have prevented your implementation?
Please explain.



























































































































































































































NOTE: This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the PRA unless that collection of information displays a currently valid OMB control number. Public reporting burden for this collection is estimated to be five 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. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing this burden, to the National Institute of Standards and Technology,
Attn: Isabel Chavez, [email protected], 301-975-2128. The OMB Control No. is 0693-0031, which expires on 05/31/2018.
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