Various Demographic Area Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

omb1214ACS date of birthenc4

Various Demographic Area Pretesting Activities

OMB: 0607-0725

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Attachment D


Questionnaire for User Interaction Satisfaction (QUIS)


Please circle the numbers that most appropriately reflect your impressions about using

the ACS Online Survey.


1. Overall reaction to the Web Survey: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


2. Overall Appearance: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


3. Use of terminology throughout the survey: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


4. Instructions displayed on the screens: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable



5. Ease with which you could move: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


6. Knowing where you were in the form: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable



7. Organization of question, instructions, Dissatisfied Satisfied

and response categories in the survey: 1 2 3 4 5 6 7 8 9 10 not applicable



8. Forward navigation: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


9. Overall experience of completing the survey: Dissatisfied Satisfied

1 2 3 4 5 6 7 8 9 10 not applicable


10. Additional Comments:









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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKathleen T. Ashenfelter
File Modified0000-00-00
File Created2021-02-02

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