384 PSC Questionna 384 PSC Questionnaire Draft customer approved

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Overview

Welcome and Thank You Text
Current Model Qsts
Current Custom Qsts

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Sheet 1: Welcome and Thank You Text

Model Instance Name:
DHHS Program Support Center
MID:	Jdgox5s1osEgVRgEohslgA==
Date:
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for visiting PSC.gov. You have been randomly selected to take part in a brief survey to let the Program Support Center 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 Text Example
	Thank You Text
	Thank you for taking our survey – and for helping PSC 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 web site.

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Sheet 2: Current Model Qsts

Model Instance Name:
DHHS Program Support Center
MID:	Jdgox5s1osEgVRgEohslgA==
Date:
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Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Return (1=Very Unlikely, 10=Very Likely)
	Please rate the accuracy of information on this site.		What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		How likely are you to return to this site?
	Please rate the quality of information on this site.		How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
	Please rate the freshness of content on this site.		How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		How likely are you to recommend this site to someone else?
	Look and Feel (1=Poor, 10=Excellent, Don't Know)				Primary Resource (1=Very Unlikely, 10=Very Likely)
	Please rate the visual appeal of this site.				How likely are you to use this site as your primary resource for obtaining information from this organization?
	Please rate the balance of graphics and text on this site.
	Please rate the readability of the pages on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
	Please rate how well the site is organized.
	Please rate the options available for navigating this site.
	Please rate how well the site layout helps you find what you are looking for.
	Please rate the number of clicks to get where you want on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
	Please rate the relevance of search results on this site.
	Please rate the organization of search results on this site.
	Please rate how well the search results help you decide what to select.
	Please rate how well the search feature helps you to narrow the results to find what you want.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
	Please rate how quickly pages load on this site.
	Please rate the consistency of speed from page to page on this site.
	Please rate the ability to load pages without getting error messages on this site.

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Sheet 3: Current Custom Qsts

			red & strike-through: DELETE
DHHS Program Support Center			underlined & italicized: RE-ORDER
MID: Jdgox5s1osEgVRgEohslgA==			pink: ADDITION
Date:	10/21/2010		blue + -->: REWORDING
DHHS Program Support Center CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
SAC0426		Which of the following best describes why you decided to visit PSC.gov today?	To find information on a service or product	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Visit Reason
			To access the ITAS system to log or check my time
			To download forms	B
			To find specific contact information for an employee or department
			Other (please specify)	C
SAC0427	B	Which forms did you plan to download today?			Text area, no char limit		N		OE Forms
SAC0428	C	Why did you visit the Program Support Center today?			Text area, no char limit		N		Other Visit Reason
SAC0429	A	On which product or service were you looking for information today? (Check all that apply)	Accounting Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Product/Service
			Asset Management
			Automated External Defibrillator Services
			Background Investigations
			Board for Corrections
			Building Management
			Clinical Health and Wellness Services
			Compensation Services
			Conference Services
			Cooperative Administrative Support Units (CASUs)
			Cost Allocation/Indirect Cost Negotiations
			Debt Collection
			Departmental Forms Management
			Digital Fingerprinting and Special Agency Checks
			Employee Assistance Program
			Employee Child Care Services
			Environmental Health Services
			Financial Enterprise Systems Management
			Financial Reporting
			Freedom of Information Act (FOIA)
			General Storage
			Graphic Arts
			HHS Information Hotline
			HHS Travel Services
			HSPD-12 (PIV) Badge Recertification
			HSPD-12 Services
			Human Resource Systems
			IT Infrastructure and Operations Services
			IT Security Services
			Labor and Moving
			Mail Management and Policy Branch
			Medical Affairs
			Negotiated Contracts
			ONE-DHHS Contact Center
			Payment Management (Grant) Services
			Payroll Accounting Services
			Payroll Services
			Physical Security
			Printing Procurement
			Product Distribution
			Project Management
			Property Disposal
			Purchase Card Management
			Real Property
			Regional Support Program
			Relocation Services
			Shredding
			Simplified Acquisitions
			Space Acquisition
			Space Alterations
			Subsidized Mass Transit Tickets (Transhare and GO!card)
			Supply Service Center
			Telecommunications Management
			Telecommunications Services
			Vehicle Rental Services
			Wellness/Fitness
			Work/Life Services
			Other (please specify)	D
SAC0430	D	Other services or products:			Text area, no char limit	Single	N		Other Product/Service
SAC0431		Are you a Health & Human Services Employee?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	HHS?
			No	E
SAC0432	E	With which federal agency are you currently employed?	Agency for International Development		Radio button, one-up vertical	Single	Y	Skip Logic Group	Federal Agency
			Department of Agriculture
			Department of Commerce
			Department of Defense
			Department of Education
			Department of Homeland Security
			Department of Housing and Urban Development
			Department of the Interior
			Department of Justice
			Department of Labor
			Department of State
			Department of the Interior
			Department of the Treasury
			Department of Transportation
			Department of Veterans Affairs
			Executive Office of the President
			Federal Legislative Branch
			General Accounting Office
			General Services Administration
			Independent Agencies
			Judicial Branch
			National Aeronautics and Space Administration
			Office of Personnel Management
			Peace Corps
			Postal Service
			Private Vendor
			Quasi Official INTNL & Non Govt
			Railroad Retirement Board
			Securities and Exchange Commission
			Other federal agency (please specify)	F
SAC0433	F	Other federal agency:			Text area, no char limit	Single	N		Other Federal Agency
SAC0434		In which U.S. state are you based?	Alabama		Drop down, select one	Single	Y		State
			Alaska
			Arkansas
			Arizona
			California
			Colorado
			Connecticut
			District of Columbia
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Kansas
			Kentucky
			Louisiana
			Maryland
			Massachusetts
			Maine
			Michigan
			Minnesota
			Missouri
			Mississippi
			Montana
			Nebraska
			New Hampshire
			New Jersey
			New Mexico
			Nevada
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Virginia
			Vermont
			West Virginia
			Washington
			Wisconsin
			Wyoming
			Outside the U.S.
SAC0435		How often do you visit PSC.gov?	This is my first visit		Radio button, one-up vertical	Single	Y		Visit Frequency
			A few times per year
			A few times per month
			A few times per week
			Every day
			Multiple times per day
SAC0436		Did you accomplish your goal in visiting PSC.gov today?	Yes		Radio button, one-up vertical		Y	Skip Logic Group	Accomplish Goal?
			No	F
			I did not have a specific goal in visiting PSC.gov today.
SAC0437	F	Which goal could you not accomplish on PSC.gov today?			Text area, no char limit	Single	N	Skip Logic Group	Goal Not accomplished
SAC0438		What suggestions do you have about how to make PSC.gov more helpful to visitors like you?			Text area, no char limit	Single	N		Suggested Changes
SAC0439		What do you plan to do next?	Call someone to learn more about products and services available		Radio button, one-up vertical	Single	Y		Do next?
			Email someone to learn more about products and services available
			Call someone to order or purchase products or services available
			Email someone to order or purchase products or service available
			Download the PSC Service and Product Directory
			I do not plan to do any of the above
SAC0440		If you could purchase products or services using this website, how likely would you be to place your order online?	Very likely		Radio button, one-up vertical	Single	Y	Skip Logic Group	Likely to purchase online
			Somewhat likely
			Somewhat unlikely	G
			Very unlikely	G
SAC0441	G	Why would you be unlikely to order online?			Text area, no char limit		N	Skip Logic Group	Why unlikely to purchase online