Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

Survey Chicago Model FO Employee and Vistor Feedback Survey

Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey

OMB: 0960-0788

Document [docx]
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Survey language


External Visitor Survey

  1. Did you find the following helpful?

  1. Appointment Express Barcode Scanner

  2. Check in Kiosks

  3. Service options available at the interviewing stations

  4. Tablets

  5. TV Video displays in the lobby

  1. Was the office layout for the check in kiosks and the interviewing stations easy to follow? 

  2. What did you like best about the experience?

  3. How would you improve the experience?


Internal Employee Survey

  1. The automation training was sufficient and I’m comfortable using the new technology (Fill-in)

  2. Are there any particular areas where we can improve?

  1. Appointment Express Barcode Scanner

  2. Click-to-Chat

  3. DIRRT Wall

  4. Ergonomic Furniture

  5. Huddle Room

  6. Lounge area

  7. Phone Booth

  8. SHPCs

  9. Skype

  10. Tablets

  11. Video display screens in the reception area and vestibule

  12. VIPr Kiosks

  13. VSDs

  1. What things did we do well?

  2. How would you improve the process?


The questions will be answered in the following format:

  • Strongly Disagree

  • Somewhat Disagree

  • Neither Agree nor Disagree

  • Somewhat Agree

  • Strongly Agree

  • Not Applicable


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSoto-Gonzalez, Melisa
File Modified0000-00-00
File Created2021-01-15

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