30705 Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180709_DOT
E-Government Website Customer Satisfaction Surveys
Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180709_DOT.xlsx
Mapping and Questionnaire Documents IA 30705 A3 (FOH PSC)
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
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Model Questions
Custom Questions
Custom Questions (7-10-18)
Overview
Welcome and Thank You TextModel Questions
Custom Questions
Custom Questions (7-10-18)
Sheet 1: Welcome and Thank You Text
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The text you see here will appear at the top and bottom of your survey, examples below. | ||||
| Default text is included and you may modify this text as needed. | |||||
| Welcome and Thank You Text | |||||
| Welcome Text | Welcome Text - Tablet / Phone | ||||
Thank you for being a valuable PSC partner. Please take a few minutes to tell us how we are doing and where we can improve, to ensure you have the best experience possible. |
Thank you for taking our survey - and for helping us serve you better. We appreciate your input! | ||||
| Thank You Text | Thank You Text - Tablet / Phone | ||||
| Example Desktop | Example Mobile | ||||
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Sheet 2: Model Questions
| Model Name | PSC Security Feedback Survey |
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| Model ID | hNY0cFwoRYIg9s19AowcdQ4C | Underlined & Italicized: Re-order | ||||||
| Partitioned | No | Pink: Addition | ||||||
| Date | 5/8/2018 | |||||||
| Model Version | Custom | Blue: Reword | ||||||
| Label | Element Questions | Label | Satisfaction Questions | Label | Future Behaviors | |||
| CUSTOMER SATISFACTION | ||||||||
| MQ Label | ||||||||
| Satisfaction - Overall | What is your overall satisfaction with this service experience? (1=Very Dissatisfied, 10=Very Satisfied) | |||||||
| Satisfaction - Expectations | How well did this service experience meet your expectations? (1=Falls Short, 10=Exceeds) | |||||||
| Satisfaction - Ideal | How does this experience compare to an ideal service experience? (1=Not Very Close, 10=Very Close) | |||||||
Sheet 3: Custom Questions
| Model Name | PSC Security Feedback Survey |
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| Model ID | hNY0cFwoRYIg9s19AowcdQ4C | Underlined & Italicized: Re-order | |||||||
| Partitioned | No | Pink: Addition | |||||||
| Date | 5/8/2018 | Blue: Reword | |||||||
| QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label |
| RUS0243044 | In which location did you receive your enrollment services? | N | Text area, no char limit | Enrollment Services_location | |||||
| LAB8021Q004 | What type of appointment did you receive at your Badging Office on this visit? | PIV Card Insurance | Y | Radio button, one-up vertical | Type of appointment | ||||
| Enrollment | |||||||||
| External Card Binding | |||||||||
| ALT Card Issuance | |||||||||
| Certificate Update/Pin Reset | |||||||||
| Troubleshooting PIV Card | |||||||||
| Other | |||||||||
| LAB8021Q005 | Thinking only about today's specific visit, please rate your satisfaction of the following: Ability of staff to handle problem |
Poor = 1 | Y | Radio button, scale, no don't know | Handle problem | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q006 | Clarity of information sent/emailed to you prior to your visit | Poor = 1 | Y | Radio button, scale, no don't know | Clarity of info | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q007 | Courtesy of staff | Poor = 1 | Y | Radio button, scale, no don't know | Courtesy | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q008 | Responsiveness of staff | Poor = 1 | Y | Radio button, scale, no don't know | Responsiveness | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q009 | Timeliness of service provided | Poor = 1 | Y | Radio button, scale, no don't know | Timeliness | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q010 | Environment friendliness | Poor = 1 | Y | Radio button, scale, no don't know | Environment_friendliness | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q011 | Environment tidiness | Poor = 1 | Y | Radio button, scale, no don't know | Environment_tidiness | ||||
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| Excellent = 10 | |||||||||
| LAB8021Q012 | Did this visit take care of all your enrollment needs? | Yes, I received everything I needed | Y | Radio button, one-up vertical | Skip Logic Group* | Met needs | |||
| No, there are/were outstanding issues that still need(ed) to be resolved | A | ||||||||
| LAB8021Q013 | A | If not resolved today, were you given instructions/advised on next steps in the process? | Yes | Y | Radio button, one-up vertical | Skip Logic Group* | Met needs_NO | ||
| No | |||||||||
| Not applicable | |||||||||
| Do not remember | |||||||||
| LAB8021Q014 | How long was today’s enrollment visit? | Shorter than 15 minutes | Y | Radio button, one-up vertical | Enrollment length | ||||
| Between 15-30 minutes | |||||||||
| Longer than 30 minutes | |||||||||
| Do not remember | |||||||||
| LAB8021Q015 | What can we do to make the next customer’s experience better? | N | Text field, <100 char | OE_Improvement |
Sheet 4: Custom Questions (7-10-18)
| Model Name | PSC Security Feedback Survey |
|
|||||||
| Model ID | hNY0cFwoRYIg9s19AowcdQ4C | Underlined & Italicized: Re-order | |||||||
| Partitioned | No | Pink: Addition | |||||||
| Date | 5/8/2018 | Blue: Reword | |||||||
| QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label |
| In which location did you receive your enrollment services? | N | Text area, no char limit | Enrollment Services_location | ||||||
| LAB8021Q004 | What type of appointment did you receive at your Badging Office on this visit? | PIV Card Insurance | Y | Radio button, one-up vertical | Type of appointment | ||||
| Enrollment | |||||||||
| External Card Binding | |||||||||
| ALT Card Issuance | |||||||||
| Certificate Update/Pin Reset | |||||||||
| Troubleshooting PIV Card | |||||||||
| Other | |||||||||
| LAB8021Q005 | Thinking only about today's specific visit, please rate your satisfaction of the following: Ability of staff to handle problem |
Poor = 1 | Y | Radio button, scale, no don't know | Handle problem | ||||
| 2 | |||||||||
| 3 | |||||||||
| 4 | |||||||||
| 5 | |||||||||
| 6 | |||||||||
| 7 | |||||||||
| 8 | |||||||||
| 9 | |||||||||
| Excellent = 10 | |||||||||
| LAB8021Q006 | Clarity of information sent/emailed to you prior to your visit | Poor = 1 | Y | Radio button, scale, no don't know | Clarity of info | ||||
| 2 | |||||||||
| 3 | |||||||||
| 4 | |||||||||
| 5 | |||||||||
| 6 | |||||||||
| 7 | |||||||||
| 8 | |||||||||
| 9 | |||||||||
| Excellent = 10 | |||||||||
| LAB8021Q007 | Courtesy of staff | Poor = 1 | Y | Radio button, scale, no don't know | Courtesy | ||||
| 2 | |||||||||
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| 7 | |||||||||
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| 9 | |||||||||
| Excellent = 10 | |||||||||
| LAB8021Q008 | Responsiveness of staff | Poor = 1 | Y | Radio button, scale, no don't know | Responsiveness | ||||
| 2 | |||||||||
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| 4 | |||||||||
| 5 | |||||||||
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| 7 | |||||||||
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| 9 | |||||||||
| Excellent = 10 | |||||||||
| LAB8021Q009 | Timeliness of service provided | Poor = 1 | Y | Radio button, scale, no don't know | Timeliness | ||||
| 2 | |||||||||
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| Excellent = 10 | |||||||||
| LAB8021Q010 | Environment friendliness | Poor = 1 | Y | Radio button, scale, no don't know | Environment_friendliness | ||||
| 2 | |||||||||
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| Excellent = 10 | |||||||||
| LAB8021Q011 | Environment tidiness | Poor = 1 | Y | Radio button, scale, no don't know | Environment_tidiness | ||||
| 2 | |||||||||
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| 9 | |||||||||
| Excellent = 10 | |||||||||
| LAB8021Q012 | Did this visit take care of all your enrollment needs? | Yes, I received everything I needed | Y | Radio button, one-up vertical | Skip Logic Group* | Met needs | |||
| No, there are/were outstanding issues that still need(ed) to be resolved | A | ||||||||
| LAB8021Q013 | A | If not resolved today, were you given instructions/advised on next steps in the process? | Yes | Y | Radio button, one-up vertical | Skip Logic Group* | Met needs_NO | ||
| No | |||||||||
| Not applicable | |||||||||
| Do not remember | |||||||||
| LAB8021Q014 | How long was today’s enrollment visit? | Shorter than 15 minutes | Y | Radio button, one-up vertical | Enrollment length | ||||
| Between 15-30 minutes | |||||||||
| Longer than 30 minutes | |||||||||
| Do not remember | |||||||||
| LAB8021Q015 | What can we do to make the next customer’s experience better? | N | Text field, <100 char | OE_Improvement |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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