Non-Immigrant Visa Applicant

U.S. DEPARTMENT OF STATE
NONIMMIGRANT VISA APPLICANT
SATISFACTION SURVEY

OMB No: 1405-0193

Expiration Date: 4/30/2021

Estimated Burden: 3 minutes
SV-2015-0009

We ask that you take a brief survey to assess your experience with the United States consular section at the U.S. [Embassy/Consulate General name]. Your responses will be kept private and not associated with you or your case. We are only conducting this survey to improve our service.

1. U.S. Embassy/Consulate General _[Dropdown choices for electronic survey or write-in option for paper]_

If used,
was source helpful?

PREPARING FOR YOUR APPOINTMENT

1. 2. How did you obtain information to prepare for your appointment? Check all that apply.

	Yes	No
Family member or friend
Attorney/notary
Travel agent
U.S. Department of State website (travel.state.gov)
[Embassy/Consulate General name] website in English ([insert post website URL])
[Embassy/Consulate General name] website in [country’s official language]
[Embassy/Consulate General name] by phone or email in English
[Embassy/Consulate General name] by phone or email in [country’s official language]
ustraveldocs.com
usvisa-info.com
Social media (e.g., Facebook, Twitter)
Other ____________________________

3. Did you need help in completing the forms?

• No

• Yes, by a family member or friend

• Yes, by an attorney/notary

• Yes, by a travel agent

• Yes, by contacting the [Embassy/Consulate General name] by phone or email in English

• Yes, by contacting the [Embassy/Consulate General name] by phone or email in [country’s official language]

• Yes, by contacting ustraveldocs.com

• Yes, by contacting usvisa-info.com

• Yes, other ____________________________

3. If you used the [Embassy/Consulate General name], ustraveldocs.com, or usvisa-info.com website, were instructions and requirements well-defined?

• Yes

• No

• I did not use a website

3. Prior to your appointment, which of the following would you have liked to receive additional information about?

• What to expect at the appointment (i.e., the security process, waiting room experience, parking, appointment time and duration)

• Prohibited items that are not allowed in the [Embassy/Consulate General name]

• Supporting documentation required

• Information on how to change appointment time

• Document delivery service

• Other ______________________________________

FEE PAYMENT

3. Were you satisfied with the fee payment instructions?

• Yes, they were sufficient

• No, I needed more information

• No, they were confusing

• Other_________________________________________

3. Were you satisfied with the fee payment options?

• Yes, they were sufficient

• No, they were inconvenient

• Other _________________________________________

APPOINTMENT SCHEDULING

3. Did you receive an appointment for a time and date within three weeks?

• Yes

• No, I needed an earlier appointment date, and one was not available.

• No, other _______________________________________________

3. Was it difficult for you to schedule or reschedule your appointment? Please indicate why and check all that apply.

• The scheduling or rescheduling process was confusing.

• I do not have access to or use the internet.

• Other_________________________________________

DURING THE APPOINTMENT

10. Please rate your visit to [Embassy/Consulate General name].	Excellent	Satisfactory	Needs Improvement
Courtesy of the security guards
Courtesy of the consular staff
Answers to your questions
Explanation regarding your case
Cleanliness and comfort of the waiting area
Duration of wait time for the interview

DOCUMENT DELIVERY

11. If you were provided the option of document delivery, were you satisfied with the options for document delivery?

• Yes, they were sufficient

• No, they were inconvenient

• No, I needed more options

• Not applicable, I did not use document delivery or it was not an option

• Other_________________________________________

11. Please use the space below for any additional suggestions on what we could improve.

Public reporting burden for this collection of information is estimated to average 3 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: Department of State, Bureau of Consular Affairs, ATTN: Catherine Barry, 600 19^th Street, N.W., Washington, DC 20036.

Page 6 of 2