HCE Customer Satisfaction Survey 2022

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

HCE Customer Satisfaction Survey 2022

OMB: 0704-0553

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Customer Satisfaction Survey
Thank you for participating in the DoD Hearing Center of Excellence Customer Satisfaction Survey.
Your feedback is very important to us and will be used to improve the HCE and the services that it
provides.
OMB Control Number: 0704-0553
Expiration Date: XX/XX/XXXX
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, OMB 0704-0553 is estimated to
average 3 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or burden reduction
suggestions to the Department of Defense, Washington Headquarters Services, at whs.mcalex.esd.m bx.dd-dod-inform ation-collections@m ail.m il. Respondents should be aware that
notwithstanding any other provision of law, no person shall be subject to any penalty for failing to
comply with a collection of information if it does not display a currently valid OMB control number.

Customer Satisfaction Survey
1. How likely is it that you would recommend products or services provided by the DoD Hearing Center of
Excellence to a friend or colleague?
NOT AT ALL LIKELY
0

1

EXTREMELY LIKELY
2

3

4

5

6

7

8

9

2. Overall, how satisfied or dissatisfied are you with the DoD Hearing Center of Excellence?
Very satisfied

Somewhat dissatisfied

Somewhat satisfied

Very dissatisfied

Neither satisfied nor dissatisfied

3. Which of the following words would you use to describe our services? Select all that apply.
Reliable

Unreliable

High quality

Poor quality

Effective

Ineffective

Useful

Impractical

4. How responsive have we been to your questions or requests for assistance?
Extremely responsive

Not so responsive

Very responsive

Not at all responsive

Somewhat responsive

Not applicable

10

5. What is your primary affiliation?
Department of Defense
Department of Veterans Affairs
Academia
Industry
Other (please specify)

6. How long have you been a customer of the DoD Hearing Center of Excellence?
Less than six months
Six months to a year
1 - 2 years
3 or more years

7. How would you rate the quality of the following services:
I have not used
this service/I am
not familiar with
this service

Very High
Quality

High Quality

Neither High nor
Low Quality

Low Quality

Very Low Quality

Annual Collaborative
Auditory Vestibular
Research Network
(CAVRN) Meeting
Research Consultation
and Staff Support
Research Collaborations
Working Group
Leadership and
Participation
Enterprise Clinical
Audiology Application
(ECAA)
Joint Hearing Loss and
Auditory System Injury
Registry (JHASIR)
Dissemination and
Support for Clinical Best
Practices (e.g., Hearing,
Tinnitus, and Clinical
Coding)
Continuing Education
Support (i.e.,
AudiologyOnline, Air
Force MAW, Navy
SOAP, Army PH Course)
Vestibular Training
Courses and Support
Services
Comprehensive Hearing
Health Program (CHHP)
Evaluated Products List
(EPL)
Fit-Testing

8. Are there any gaps in the services or products that we provide? Are there any areas where we are not
meeting your organization's needs?

9. Do you have any other comments, concerns, or suggestions for improvement?


File Typeapplication/pdf
File TitleView Survey
File Modified2022-04-20
File Created2020-05-20

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