Form 241 2019 241 FEMA RMD Risk MAP Meeting_rev_10.03.19 (1)
E-Government Website Customer Satisfaction Surveys
2019 241 FEMA RMD Risk MAP Meeting_rev_10.03.19 (1).xlsx
2019 241 FEMA RMD Risk MAP Meeting_rev_10.03.19 (1)
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⚠️ Notice: This form may be outdated.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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Model Questions
Custom Questions
Overview
Welcome and Thank You TextModel Questions
Custom Questions
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 | |||||
| Thank you for participating in the FEMA Risk MAP Meeting you recently attended. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best experience possible. |
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| Thank You Text | |||||
| Thank you for taking our survey - and for helping us serve you better. |
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| Example Desktop | |||||
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Sheet 2: Model Questions
| Model Name | FEMA Risk MAP Meeting | ||||
| Model ID | 8xcdA8NA5Zh44BEZ1tJQYg4C | Underlined & Italicized: Re-order | |||
| Partitioned | Pink: Addition | ||||
| Date | 1/16/2019 | ||||
| Model Version | 18.1.J | Blue: Reword | |||
| Label | Satisfaction Questions | Label | Future Behaviors | ||
| Satisfaction | Share Information (1=Very Unlikely, 10=Very Likely) |
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| 1 | Satisfaction - Overall | What is your overall satisfaction with the FEMA Risk MAP meeting you attended? (1=Very Dissatisfied, 10=Very Satisfied) |
4 | Share Information | How likely are you to share information you learned at the FEMA Risk MAP meeting with others? |
| 2 | Satisfaction - Expectations | How well did the FEMA Risk MAP meeting meet your expectations? (1=Fell Short, 10=Exceeded) |
Primary Resource (1=Very Unlikely, 10=Very Likely) |
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| 3 | Satisfaction - Ideal | How close is this meeting experience to an ideal meeting? (1=Not Very Close, 10=Very Close) |
5 | Primary Resource | How likely are you to use the FEMA Risk MAP meetings as a primary resource for learning about flood risk? |
| Trust (1=No Trust, 10=Complete Trust) |
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| 6 | Trust | Please rate your level of trust in the FEMA Risk MAP Program. | |||
| Confidence (1=Not at all Confident, 10=Very Confident) |
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| 7 | Confidence | Please rate your level of confidence in FEMA. | |||
Sheet 3: Custom Questions
| Model Name | FEMA Risk MAP Meeting |
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| Model ID | 8xcdA8NA5Zh44BEZ1tJQYg4C | Underlined & Italicized: Re-order | ||||||||
| Partitioned | 0 | Pink: Addition | ||||||||
| Date | 1/16/2019 | Blue: Reword | ||||||||
| QID | AP Question Tag | Skip From | Question Text | Answer Choices | Skip To | AP Answer Tag | Required Y/N |
Type | Special Instructions | CQ Label |
| JHR8452Q001 | fema_rmd_fema_risk_map_meeting_desired_outcome | What were your desired outcomes in attending the FEMA Risk MAP meeting? (Please select all that apply) | Gain general knowledge about FEMA's flood maps, local flood hazards, risk assessment, and flood mitigation | gain_general_knowledge_about_femas_flood_maps_local_flood_hazards_risk_assessment_and_flood_mitigation | Y | Checkbox, one-up vertical | Skip Logic Group* | Desired Outcome | ||
| Provide feedback on flood risk study and/or working maps | provide_feedback_on_flood_risk_study_and_or_working_maps | Randomize | ||||||||
| Learn about changes to my flood risk | learn_about_changes_to_my_flood_risk | |||||||||
| Learn about resources available from FEMA, the State, and other partners to reduce flood risk | learn_about_resources_available_from_fema_the_state_and_other_partners_to_reduce_flood_risk | |||||||||
| Learn more about adopting the new flood maps | learn_more_about_adopting_the_new_flood_maps | |||||||||
| Learn more about the flood map development process | learn_more_about_the_flood_map_development_process | |||||||||
| Other (please specify) | A | other_please_specify | Anchor Answer Choice | |||||||
| JHR8452Q002 | fema_rmd_fema_risk_map_meeting_desired_outcome_other | A | Please specify your desired outcome of the Risk MAP meeting. | N | Text field, <100 char | Skip Logic Group* | Desired Outcome Other | |||
| JHR8452Q003 | fema_rmd_fema_risk_map_meeting_communications | Were the communications you received prior to the meeting sufficient? | Yes | yes | Y | Radio button, one-up vertical | Communications | |||
| No | no | |||||||||
| JHR8452Q004 | fema_rmd_fema_risk_map_meeting_location | Was the meeting at a convenient location? | Yes | yes | Y | Radio button, one-up vertical | Location | |||
| No | no | |||||||||
| JHR8452Q005 | fema_rmd_fema_risk_map_meeting_time | Was the meeting at a convenient time? | Yes | yes | Y | Radio button, one-up vertical | Time | |||
| No | no | |||||||||
| JHR8452Q006 | fema_rmd_fema_risk_map_meeting_attendees | Were the necessary people at the meeting to achieve the meeting objective? | Yes | yes | Y | Radio button, one-up vertical | Attendees | |||
| No | no | |||||||||
| JHR8452Q007 | fema_rmd_fema_risk_map_meeting_materials | Were the materials presented in the meeting helpful? | Yes | yes | Y | Radio button, one-up vertical | Materials | |||
| No | no | |||||||||
| JHR8452Q008 | fs_accomplish | Did you accomplish what you needed to at the meeting? | Yes | yes | Y | Radio button, one-up vertical | Skip Logic Group* | Accomplish | ||
| No | A | no | ||||||||
| JHR8452Q009 | fs_why_not_accomplish | A | Please tell us why you were unable to accomplish what you needed to at the meeting. | N | Text area, no char limit | Skip Logic Group* | Why Not Accomplish | |||
| JHR8452Q010 | fs_do_next | What do you plan to do next in the flood Risk MAP development process? (Please select all that apply) | Attend another FEMA Risk MAP meeting | attend_another_fema_risk_map_meeting | Y | Checkbox, one-up vertical | Skip Logic Group* | Do Next | ||
| Provide additional information about my community to FEMA | provide_additional_information_about_my_community_to_fema | |||||||||
| Research my community's flood ordinance/building codes/etc. | research_my_communitys_flood_ordinance_building_codes_etc | |||||||||
| Talk to others in my community and raise awareness about flood risk | talk_to_others_in_my_community_and_raise_awareness_about_flood_risk | |||||||||
| Take mitigation action(s) for my own property | take_mitigation_actions_for_my_own_property | |||||||||
| Encourage community leaders to take mitigation actions | encourage_community_leaders_to_take_mitigation_actions | |||||||||
| Research flood maps/risk online | B2 | research_flood_maps_risk_online | ||||||||
| Contact my local government officials | contact_my_local_government_officials | Randomize | ||||||||
| Contact FEMA | contact_fema | |||||||||
| Research flood maps/risk through another federal agency | B2 | research_flood_maps_risk_through_another_federal_agency | ||||||||
| Research flood maps/risk at a University | B2 | research_flood_maps_risk_at_a_university | ||||||||
| Other (please specify) | B1 | other_please_specify | Anchor Answer Choice | |||||||
| Not sure, I'm uncertain how to proceed | not_sure_im_uncertain_how_to_proceed | Mutually Exclusive | ||||||||
| Nothing | nothing | Mutually Exclusive | ||||||||
| JHR8452Q011 | fs_do_next_other | B1 | What do you plan to do next? | N | Text area, no char limit | Skip Logic Group* | Do Next - Other | |||
| JHR8452Q012 | fema_rmd_fema_risk_map_meeting_do_next_research_other | B2 | Where do you plan to research? | N | Text area, no char limit | Skip Logic Group* | Do Next Research Other | |||
| JHR8452Q013 | fs_role_govt | What is your primary role in attending the FEMA Risk MAP meeting? | Elected government official | general_public | Y | Radio button, one-up vertical | Skip Logic Group* | Role | ||
| Federal government employee | federal_government_employee | |||||||||
| State government employee | state_government_employee | |||||||||
| Emergency manager | emergency_manager | |||||||||
| Floodplain manager | floodplain_manager | |||||||||
| Flood insurance professional | flood_insurance_professional | |||||||||
| City planner / planning professional | city_planner_planning_professional | |||||||||
| Community resident / small business owner | community_resident_small_business_owner | |||||||||
| Other (please specify) | C | other_please_specify | ||||||||
| JHR8452Q014 | fema_rmd_fema_risk_map_meeting_role_other | C | Please specify your role in attending the Risk MAP meeting. | N | Text field, <100 char | Skip Logic Group* | Role Other | |||
| JHR8452Q018 | fema_rmd_fema_risk_map_meeting_meetings_attended | How many FEMA Risk MAP meetings have you attended? | This was the first meeting I attended | this_was_the_first_meeting_i_attended | Y | Drop down, select one | Meetings Attended | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 or more | 4_or_more | |||||||||
| JHR8452Q022 | fema_rmd_fema_risk_map_meeting_exp_flood | Have you ever experienced a flood? | Yes | yes | Y | Radio button, one-up vertical | Exp Flood | |||
| No | no | |||||||||
| JHR8452Q023 | fema_rmd_fema_risk_map_meeting_agree_expectations | Please rate your level of agreement with the following statements. The overall expectations of me for this Flood Risk MAP project are clear. |
1=Strongly Disagree | 1 | Y | Radio button, scale, no don't know | Agree Expectations | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| 5 | 5 | |||||||||
| 6 | 6 | |||||||||
| 7 | 7 | |||||||||
| 8 | 8 | |||||||||
| 9 | 9 | |||||||||
| Strongly Agree=10 | 10 | |||||||||
| JHR8452Q024 | fema_rmd_fema_risk_map_meeting_agree_do_next | I understand what I need to do next in the development of the flood map. | 1=Strongly Disagree | 1 | Y | Radio button, scale, no don't know | Agree Do Next | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| 5 | 5 | |||||||||
| 6 | 6 | |||||||||
| 7 | 7 | |||||||||
| 8 | 8 | |||||||||
| 9 | 9 | |||||||||
| Strongly Agree=10 | 10 | |||||||||
| JHR8452Q025 | fema_rmd_fema_risk_map_meeting_agree_partner | FEMA is my partner in the development of the flood map. | 1=Strongly Disagree | 1 | Y | Radio button, scale, no don't know | Agree Partner | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| 5 | 5 | |||||||||
| 6 | 6 | |||||||||
| 7 | 7 | |||||||||
| 8 | 8 | |||||||||
| 9 | 9 | |||||||||
| Strongly Agree=10 | 10 | |||||||||
| JHR8452Q027 | fs_improve | What else would you like to share with us to help improve FEMA Risk MAP meetings? | N | Text area, no char limit | Improve | |||||
| JHR8452Q028 | fema_rmd_fema_risk_map_meeting_advance_mitigation | How can FEMA advance flood resilience and mitigation in your community? | N | Text area, no char limit | Advance Mitigation | |||||
| JHR8452Q029 | fema_rmd_fema_risk_map_meeting_do_more | What else can FEMA do to better support your community? | N | Text area, no char limit | Do More | |||||
| JHR8452Q030 | fs_state | In which state do you live? | Alabama | alabama | N | Drop down, select one | State | |||
| Alaska | alaska | |||||||||
| Arizona | arizona | |||||||||
| Arkansas | arkansas | |||||||||
| California | california | |||||||||
| Colorado | colorado | |||||||||
| Connecticut | connecticut | |||||||||
| Delaware | delaware | |||||||||
| District of Columbia | district_of_columbia | |||||||||
| Florida | florida | |||||||||
| Georgia | georgia | |||||||||
| Hawaii | hawaii | |||||||||
| Idaho | idaho | |||||||||
| Illinois | illinois | |||||||||
| Indiana | indiana | |||||||||
| Iowa | iowa | |||||||||
| Kansas | kansas | |||||||||
| Kentucky | kentucky | |||||||||
| Louisiana | louisiana | |||||||||
| Maine | maine | |||||||||
| Maryland | maryland | |||||||||
| Massachusetts | massachusetts | |||||||||
| Michigan | michigan | |||||||||
| Minnesota | minnesota | |||||||||
| Mississippi | mississippi | |||||||||
| Missouri | missouri | |||||||||
| Montana | montana | |||||||||
| Nebraska | nebraska | |||||||||
| Nevada | nevada | |||||||||
| New Hampshire | new_hampshire | |||||||||
| New Jersey | new_jersey | |||||||||
| New Mexico | new_mexico | |||||||||
| New York | new_york | |||||||||
| North Carolina | north_carolina | |||||||||
| North Dakota | north_dakota | |||||||||
| Ohio | ohio | |||||||||
| Oklahoma | oklahoma | |||||||||
| Oregon | oregon | |||||||||
| Pennsylvania | pennsylvania | |||||||||
| Rhode Island | rhode_island | |||||||||
| South Carolina | south_carolina | |||||||||
| South Dakota | south_dakota | |||||||||
| Tennessee | tennessee | |||||||||
| Texas | texas | |||||||||
| Utah | utah | |||||||||
| Vermont | vermont | |||||||||
| Virginia | virginia | |||||||||
| Washington | washington | |||||||||
| West Virginia | west_virginia | |||||||||
| Wisconsin | wisconsin | |||||||||
| Wyoming | wyoming | |||||||||
| U.S. Territories (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, U.S. Virgin Islands) | us_territories_american_samoa_guam_northern_mariana_islands_puerto_rico_us_virgin_islands | |||||||||
| I live outside of the United States | i_live_outside_of_the_united_states | |||||||||
| Prefer not to respond | prefer_not_to_respond | |||||||||
| JHR8452Q031 | fs_demos_gender | What is your gender? | Male | male | N | Radio button, one-up vertical | Demos: Gender | |||
| Female | female | |||||||||
| Prefer not to respond | prefer_not_to_respond | |||||||||
| JHR8452Q032 | fs_demos_age | Which category includes your age? | Under 18 | under_18 | N | Drop down, select one | Demos: Age | |||
| 18 - 24 | 18_24 | |||||||||
| 25 - 34 | 25_34 | |||||||||
| 35 - 44 | 35_44 | |||||||||
| 45 - 54 | 45_54 | |||||||||
| 55 - 64 | 55_64 | |||||||||
| 65 or older | 65_or_older | |||||||||
| Prefer not to respond | prefer_not_to_respond | |||||||||
| JHR8452Q033 | fs_demos_education_US | What is your highest level of education completed? | Some high school or less | some_high_school_or_less | N | Drop down, select one | Demos: Education | |||
| High school/GED | high_school_ged | |||||||||
| Associate degree or some college | associate_degree_or_some_college | |||||||||
| Bachelor's degree | bachelors | |||||||||
| Master's degree | masters | |||||||||
| Advanced graduate work or Ph.D. | advanced_graduate | |||||||||
| Prefer not to respond | prefer_not_to_respond | |||||||||
| JHR8452Q034 | fs_a11_satisfaction | Please rate your level of agreement with the following statements about your experience at the FEMA Risk MAP meeting. I am satisfied with the service I received from FEMA. |
1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Satisfaction | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q035 | fs_a11_confidence | This interaction increased my confidence in FEMA. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Confidence | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q036 | fs_a11_quality | My need was addressed. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Quality | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q037 | fs_a11_ease | It was easy to complete what I needed to do. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Ease | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q038 | fs_a11_efficiency | It took a reasonable amount of time to do what I needed to do. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Efficiency | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q039 | fs_a11_equity_contact_center | I was treated fairly. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Equity | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 | |||||||||
| JHR8452Q040 | fs_a11_employee_interaction | FEMA employees I interacted with were helpful. | 1=Strongly Disagree | 1 | N | Radio button, scale, no don't know | A11 Employee Interaction | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | 5 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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