| QID | Question Text | Answer Choices | Skip To | Required Y/N | Type |
| 1 | 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 | |
| 2 = Disagree | |||||
| 3 = Neutral | |||||
| 4 = Agree | |||||
| 5 = Strongly Agree | |||||
| 2 | I am satisfied with the service I received from IRS Direct Pay. | 1 = Strongly Disagree | Y | Radio button | |
| 2 = Disagree | |||||
| 3 = Neutral | |||||
| 4 = Agree | |||||
| 5 = Strongly Agree | |||||
| 3 | My need was addressed. | 1 = Strongly Disagree | 3.1 | Y | Radio button |
| 2 = Disagree | 3.1 | ||||
| 3 = Neutral | |||||
| 4 = Agree | |||||
| 5 = Strongly Agree | |||||
| 3.1 | Why was your need not addressed? Please do NOT provide any personal information (name, Social Security number, etc.) in your response. |
N | Text area | ||
| 4 | It was easy to complete what I needed to do. | 1 = Strongly Disagree | Y | Radio button | |
| 2 = Disagree | |||||
| 3 = Neutral | |||||
| 4 = Agree | |||||
| 5 = Strongly Agree | |||||
| 5 | It took a reasonable amount of time to do what I needed to do. | 1 = Strongly Disagree | Y | Radio button | |
| 2 = Disagree | |||||
| 3 = Neutral | |||||
| 4 = Agree | |||||
| 5 = Strongly Agree | |||||
| 6 | What is the reason for your payment today? | Payment Plan or Installment Agreement | Y | Radio button | |
| Tax Return (balance due when filing) | |||||
| Estimated Tax | |||||
| Proposed Tax Asessment | |||||
| Extension | |||||
| Amended Return | |||||
| Other | |||||
| 7 | What features or benefits prompted you to use IRS Direct Pay? (Select all that apply.) | Online payment option | Y | Checkbox | |
| No fees | |||||
| No registration | |||||
| Look up status, edit or cancel my payment | |||||
| All of the above | |||||
| None of the above | |||||
| Other | |||||
| 8 | 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 | |
| IRS Direct Pay | |||||
| Paper process | |||||
| Online credit card payment | |||||
| Electronic Funds Transfer Payment System (EFTPS.gov) | |||||
| Electronic Fund Withdrawal (with e-file returns) | |||||
| Other | |||||
| 9 | What would be your preferred choice of payment if Direct Pay was not available? | Mail in check | Y | Radio button | |
| Pay in person | |||||
| Credit card | |||||
| Electronic Funds Transfer Payment System (EFTPS.gov) | |||||
| Pay when you e-file | |||||
| Don't know | |||||
| 10 | How likely are you to contact customer service as a result of your visit today? | 1=Very Unlikely, 10=Very Likely | Y | Radio button | |
| 11 | 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 |
| Checkbox, one-up vertical |
| Drop down, select one |
| Radio button, one-up vertical |
| Radio button, scale, has don't know |
| Radio button, scale, no don't know |
| Text area, no char limit |
| Text field, <100 char |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |