30689 US Treasury_ 30689 US Treasury_IRS_Direct Pay_10212021_DOT

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Overview

Welcome and Thank You Text
Model Questions
Custom Questions
CQs (10-21-2021)

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Sheet 1: Welcome and Thank You Text

	The text you see here will appear at the top and bottom of your survey, examples below.
	Default text is included and you may modify this text as needed.
	Welcome and Thank You Text
		Welcome Text		Welcome Text - Tablet / Phone
		Thank you for visiting . You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.		Thank you for visiting . You've been selected to participate in a brief survey to let us know how we can improve your experience. Please take a minute to share your opinions.
		Thank You Text		Thank You Text - Tablet / Phone
		Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website.		Thank you for taking our survey - and for helping us serve you better. We appreciate your input!
		Example Desktop		Example Mobile

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Sheet 2: Model Questions

Model Name							Red & Strike-Through: Delete
Model ID		VkdIFBZ19ptAJ1U8xBYxFg4C					Underlined & Italicized: Re-order
Partitioned		No					Pink: Addition
Date
Model Version		NA					Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors

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Sheet 3: Custom Questions

Model Name	IRS Direct Pay V3		0				Red & Strike-Through: Delete
Model ID			VkdIFBZ19ptAJ1U8xBYxFg4C				Underlined & Italicized: Re-order
Partitioned			No				Pink: Addition
Date							Blue: Reword
QID	AP Question Tag	Skip From	Question Text	Answer Choices	Skip To	AP Answer Tag	Required Y/N	Type	Special Instructions	CQ Label
			Please rate your agreement with the following statements about your visit to IRS Direct Pay today: This interaction increased my trust in the IRS.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Trust
				2
				3
				4
				5 = Strongly Agree
			I am satisfied with the service I received from IRS Direct Pay.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Satisfied
				2
				3
				4
				5 = Strongly Agree
			My need was addressed.	1 = Strongly Disagree	A		Y	Radio button, scale, no don't know	Skip Logic Group*	Need Addressed
				2	A
				3
				4
				5 = Strongly Agree
		A	Why was your need not addressed? Please do NOT provide any personal information (name, Social Security number, etc.) in your response.				N	Text area, no char limit		Why not addressed
			It was easy to complete what I needed to do.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Ease to complete
				2
				3
				4
				5 = Strongly Agree
			It took a reasonable amount of time to do what I needed to do.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Time
				2
				3
				4
				5 = Strongly Agree
			What is the reason for your payment today?	Payment Plan or Installment Agreement			Y	Radio button, one-up vertical		Reason
				Tax Return (balance due when filing)
				Estimated Tax
				Proposed Tax Assessment
				Extension
				Amended Return
				Other
SBD9365Q008			What features or benefits prompted you to use IRS Direct Pay? (Select all that apply.)	Online payment option			Y	Checkbox, one-up vertical		Features
				No fees
				No registration
				Look up status, edit or cancel my payment
				None of the above					Mutually Exclusive
				Other
SBD9365Q009			Which methods have you previously used to submit payments to the IRS? (Select all that apply.)	This is my first time submitting payments to the IRS			Y	Checkbox, one-up vertical	Mutually Exclusive	Methods used
				IRS Direct Pay
				Paper process
				Online credit card payment
				Electronic Funds Transfer Payment System (EFTPS.gov)
				Electronic Fund Withdrawal (with e-file returns)
				Other
			What would be your preferred choice of payment if Direct Pay was not available?	Mail in check			Y	Radio button, one-up vertical		Preferred choice
				Pay in person
				Credit card
				Electronic Funds Transfer Payment System (EFTPS.gov)
				Pay when you e-file
				Don't know
			How likely are you to contact customer service as a result of your visit today?	1=Very Unlikely			Y	Radio button, scale, no don't know		Likely to contact
				2
				3
				4
				5
				6
				7
				8
				9
				10=Very Likely
			What suggestions do you have to improve the existing IRS Direct Pay feature? Please do NOT provide any personal information (name, Social Security number, etc.) in your response.				N	Text area, no char limit		OE_Improvement
Breakpoint. Remove this line.

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Sheet 4: CQs (10-21-2021)

Model Name	IRS Direct Pay V3		0				Red & Strike-Through: Delete
Model ID			VkdIFBZ19ptAJ1U8xBYxFg4C				Underlined & Italicized: Re-order
Partitioned			No				Pink: Addition
Date							Blue: Reword
QID	AP Question Tag	Skip From	Question Text	Answer Choices	Skip To	AP Answer Tag	Required Y/N	Type	Special Instructions	CQ Label
			Please rate your agreement with the following statements about your visit to IRS Direct Pay today: This interaction increased my trust in the IRS.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Trust
				2
				3
				4
				5 = Strongly Agree
			I am satisfied with the service I received from IRS Direct Pay.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Satisfied
				2
				3
				4
				5 = Strongly Agree
			My need was addressed.	1 = Strongly Disagree	A		Y	Radio button, scale, no don't know	Skip Logic Group*	Need Addressed
				2	A
				3
				4
				5 = Strongly Agree
		A	Why was your need not addressed? Please do NOT provide any personal information (name, Social Security number, etc.) in your response.				N	Text area, no char limit		Why not addressed
			It was easy to complete what I needed to do.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Ease to complete
				2
				3
				4
				5 = Strongly Agree
			It took a reasonable amount of time to do what I needed to do.	1 = Strongly Disagree			Y	Radio button, scale, no don't know		Time
				2
				3
				4
				5 = Strongly Agree
			What is the reason for your payment today?	Payment Plan or Installment Agreement			Y	Radio button, one-up vertical		Reason
				Tax Return (balance due when filing)
				Estimated Tax
				Proposed Tax Assessment
				Extension
				Amended Return
				Other
			What features or benefits prompted you to use IRS Direct Pay? (Select all that apply.)	Online payment option			Y	Checkbox, one-up vertical		Features
				No fees
				No registration
				Look up status, edit or cancel my payment
				All of the above
				None of the above					Mutually Exclusive
				Other
			Which methods have you previously used to submit payments to the IRS? (Select all that apply.)	This is my first time submitting payments to the IRS			Y	Checkbox, one-up vertical	Mutually Exclusive	Methods used
				IRS Direct Pay
				Paper process
				Online credit card payment
				Electronic Funds Transfer Payment System (EFTPS.gov)
				Electronic Fund Withdrawal (with e-file returns)
				Other
			What would be your preferred choice of payment if Direct Pay was not available?	Mail in check			Y	Radio button, one-up vertical		Preferred choice
				Pay in person
				Credit card
				Electronic Funds Transfer Payment System (EFTPS.gov)
				Pay when you e-file
				Don't know
			How likely are you to contact customer service as a result of your visit today?	1=Very Unlikely			Y	Radio button, scale, no don't know		Likely to contact
				2
				3
				4
				5
				6
				7
				8
				9
				10=Very Likely
			What suggestions do you have to improve the existing IRS Direct Pay feature? Please do NOT provide any personal information (name, Social Security number, etc.) in your response.				N	Text area, no char limit		OE_Improvement
Breakpoint. Remove this line.