1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft
1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft.xlsx
E-Government Website Customer Satisfaction Surveys
1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
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Overview
Claim Examination
Claim Filing
Claim adjustments
Sheet 1: Claim Examination
Survey: |
FEMA |
|
IA#: |
30739 Amend 1 |
|
Date: |
|
|
|
|
|
SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
Survey Q# |
Type# |
Type Topic |
1 |
Standard |
Satisfaction - Overall |
2 |
Standard |
Satisfaction - Expectations |
3 |
Standard |
Satisfaction - Ideal |
4 |
Standard |
Recommend Company |
5 |
Standard |
Trust |
6 |
Standard |
Renew |
7 |
Custom |
Event |
8 |
Custom |
Property type |
9 |
Custom |
Claim stages |
10 |
Custom |
adjuster contacted |
11 |
Custom |
adjuster visited |
12 |
Custom |
adjuster sent estimate |
13 |
Custom |
adjuster instructed |
14 |
Custom |
adjuster clarity |
15 |
Custom |
adjuster not clear |
16 |
Custom |
process simplicity |
17 |
Custom |
other process simplicity |
18 |
Custom |
help needed post visit |
19 |
Custom |
help sought how |
20 |
Custom |
other help sought how |
21 |
Custom |
help obtained |
22 |
Custom |
PH adjuster sat |
23 |
Custom |
other PH adjuster low sat |
24 |
Custom |
PH matters most |
25 |
Custom |
PH adjuster matters most |
26 |
Custom |
Other PH adjuster matters most |
27 |
Custom |
Other improve |
28 |
Custom |
gender |
29 |
Custom |
age |
30 |
Custom |
state |
31 |
Custom |
IV Island |
Sheet 2: Claim Filing
Survey: |
FEMA |
|
IA#: |
30739 Amend 1 |
|
Date: |
|
|
|
|
|
SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
Survey Q# |
Type# |
Type Topic |
1 |
Standard |
Satisfaction - Overall |
2 |
Standard |
Satisfaction - Expectations |
3 |
Standard |
Satisfaction - Ideal |
4 |
Standard |
Recommend Company |
5 |
Standard |
Trust |
6 |
Standard |
Renew |
7 |
Custom |
Guidance clarity |
8 |
Custom |
other guidance clarity |
9 |
Custom |
process simplicity |
10 |
Custom |
other process simplicity |
11 |
Custom |
primary reason |
12 |
Custom |
report loss |
13 |
Custom |
other report method |
14 |
Custom |
site navigation |
15 |
Custom |
other site navigation |
16 |
Custom |
rep/agent sympathetic |
17 |
Custom |
Rep/Agent Knowledgeable |
18 |
Custom |
Rep/Agent Obtain Assistance |
19 |
Custom |
Rep/Agent Courteousness |
20 |
Custom |
Call Answered Promptly |
21 |
Custom |
Additional Info |
22 |
Custom |
Find info |
23 |
Custom |
Where to find info |
24 |
Custom |
other where to find info |
25 |
Custom |
other what info missing |
26 |
Custom |
billing timing |
27 |
Custom |
claim empowerment |
28 |
Custom |
do next |
29 |
Custom |
other do next |
30 |
Custom |
other improve |
31 |
Custom |
previous claim |
32 |
Custom |
previous claim sat |
33 |
Custom |
Other not sat |
34 |
Custom |
gender |
35 |
Custom |
age |
36 |
Custom |
property type |
37 |
Custom |
state |
38 |
Custom |
IV island |
Sheet 3: Claim adjustments
Survey: |
FEMA |
|
IA#: |
30739 Amend 1 |
|
Date: |
|
|
|
|
|
SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
Survey Q# |
Type# |
Type Topic |
1 |
Standard |
Satisfaction - Overall |
2 |
Standard |
Satisfaction - Expectations |
3 |
Standard |
Satisfaction - Ideal |
4 |
Standard |
Recommend Company |
5 |
Standard |
Trust |
6 |
Standard |
Renew |
7 |
Custom |
Event |
8 |
Custom |
property type |
9 |
Custom |
claim stages |
10 |
Custom |
adjuster contacted |
11 |
Custom |
adjuster visited |
12 |
Custom |
adjuster sent estimate |
13 |
Custom |
adjuster instructed |
14 |
Custom |
adjuster clarity |
15 |
Custom |
other adjuster not clear |
16 |
Custom |
process simplicity |
17 |
Custom |
other process simplicity |
18 |
Custom |
Help needed post visit |
19 |
Custom |
help sought how |
20 |
Custom |
other help sought how |
21 |
Custom |
help obtained |
22 |
Custom |
PH adjuster Sat |
23 |
Custom |
other PH adjuster low sat |
24 |
Custom |
PH matters most |
25 |
Custom |
PH-Adjuster Matters Most |
26 |
Custom |
Other PH-Adjuster Matters Most |
27 |
Custom |
Improve |
28 |
Custom |
gender |
29 |
Custom |
age |
30 |
Custom |
state |
31 |
Custom |
IV island |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |