0693-0031-OWM-CustSat-CollectionInstrument-2021Jun15

NIST Generic Request for Customer Service-Related Data Collections

0693-0031-OWM-CustSat-CollectionInstrument-2021Jun15

OMB: 0693-0031

Document [pdf]
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NIST Customer Satisfaction Survey
NOTE: A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection
subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this
information collection is 0693-0031. Without this approval, we could not conduct this survey/information collection. Public reporting for this information collection is estimated to be approximately 5
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection.
All responses to this information collection are voluntary required to obtain benefits. Send comments regarding this burden estimate or any other aspect of this information collection, including
suggestions for reducing this burden to the:
National Institute of Standards and Technology, Attn: Isabel Chavez Baucom; [email protected] OMB Control No.: OMB Control No 0693-0031. Expiration Date: 06/30/2021

Directions: Please indicate your evaluation of each item by circling the appropriate score and
include additional comments where applicable. Use the bottom of the second page if necessary.
1. Overall Satisfaction

Don't know or
Doesn't Apply

Disagree

>

>

>

>

Agree

This (product or service) met my expectations:

0

1

2

3

4

5

6

I would recommend this (product or service) to others:

0

1

2

3

4

5

6

Inadequate

Poor

Acceptable

Good

Very Good

Outstanding

I liked the following thing best about the (product or service). Why?

I liked the following thing least about the (product or service). Why?

If I were to improve this (product or service) to make it more effective, I would:

2. Satisfaction: Accessibility

Don't know or
Doesn't Apply

Availability and format of (product or service)

0

1

2

3

4

5

6

Quality of visuals/audio/graphics or readability

0

1

2

3

4

5

6

Inadequate

Poor

Acceptable

Good

Very Good

Outstanding

3. Satisfaction: Responsiveness

Don't know or
Doesn't Apply

Professionalism and courtesy of NIST staff

0

1

2

3

4

5

6

Timeliness of delivery of (product or service)

0

1

2

3

4

5

6

Ease of navigation/finding information

0

1

2

3

4

5

6

1

NIST Customer Satisfaction Survey
4. Satisfaction: Content

Don't know or
Doesn't Apply

Disagree

>

>

>

>

Agree

The technical content was relevant and applicable to my work:

0

1

2

3

4

5

6

The depth and quality of information were appropriate:

0

1

2

3

4

5

6

The (product or service) will help/helped me to do my job:

0

1

2

3

4

5

6

The (product or service) was sufficiently interactive:

0

1

2

3

4

5

6

Familiar

Very Familiar

The length of the entire (product or service) was appropriate:

5. Learning

No Knowledge

My understanding of this topic prior to using this (product or
service) was at this level:
I think my current understandng of this topic after using the
(product or service) is at this level:

Somewhat
Familiar

Very Familiar/Able to
implement and share

0

1

2

3

4

5

0

1

2

3

4

5

6. Application
Please describe three (3) things that you learned from this (product or service):
1)
2)
3)
Please describe three (3) items that you will apply in the performance of your job:
1)
2)
3)
May we contact you in 45 days to follow up on the application of this (product or service)?
Contact Information:

Name:
Address:

Phone/Email:

7. Needs Assessment
I need the following additional information or materials to improve performance of my responsiblities:

2

Expert

examples

Yes

No

NIST Customer Satisfaction Survey
NOTE: A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection
subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this
information collection is 0693-0031. Without this approval, we could not conduct this survey/information collection. Public reporting for this information collection is estimated to be approximately 5
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection.
All responses to this information collection are voluntary required to obtain benefits. Send comments regarding this burden estimate or any other aspect of this information collection, including
suggestions for reducing this burden to the:
National Institute of Standards and Technology, Attn: Isabel Chavez Baucom; [email protected] OMB Control No.: OMB Control No 0693-0031. Expiration Date: 06/30/2021

45 Day Follow-Up Questions
1. If you applied some aspect of this product/service, what did you apply and what has been the impact? Please describe.

2. If you have not applied any aspect of this product/service, but intended to do so, what are the barriers that have prevented your
implementation?
Please explain.

3


File Typeapplication/pdf
File Title0693-0031-OWM-CustSat-CollectionInstrument-OMB-2021Jun15.xlsx
Authorinc
File Modified2021-06-15
File Created2021-06-15

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