Original Permit Application Customer Satisfaction Survey

OMB No. 1513-0124

Copy of page:

1. How satisfied were you with the ease of getting the application forms?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

2. How satisfied were you with the Instructions provided for completing the application
forms?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

3. How satisfied were you with being able to complete the application forms without
assistance?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

4. How satisfied were you with the notification that final action was taken on your
submission? (Notification that your application was approved.)
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

5. How satisfied were you with the amount of time it took to complete the application
forms?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

6. How satisfied were you with the entire process?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

7. How would you rate your experience using TTB's paper application forms?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n

8. Did you receive assistance from a TTB representative in completing the application
process?

j Yes
k
l
m
n
j No
k
l
m
n

9. How satisfied were you with the assistance you received from TTB in completing the
application process?
j Very Dissatisfied
k
l
m
n

j Moderately Dissatisfied
k
l
m
n

j Neither Satisfied nor Dissatisfied
k
l
m
n
j Moderately Satisfied
k
l
m
n
j Very Satisfied
k
l
m
n