FOLLOW-UP DISASTER ASSISTANCE SATISFACTION
FEMA Form 007-0-14
OMB No.: 1660-NEW
Expires:
Public reporting burden for this survey is estimated to average 12 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the survey. You are not required to respond to this collection of information unless it displays a valid OMB control number near the title of the electronic collection instrument, or for on-line applications, on the first screen viewed by the respondents. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-NEW) NOTE: Do not send your completed form to this address.
The following survey is voluntary.
Introduction
Hello, I'm calling from FEMA, the Federal Emergency Management Agency. My name is ____________. My ID # is ____. May I please speak with [Applicant Name] or the person most familiar with your case?
If no: Thank you for your time and have a good day/evening. (Mark attempt)
If yes: We're looking for ways to improve the quality of our service and your opinion is very important to us.
Would you volunteer to take 7 - 12 minutes to answer some questions?
No (if no) I understand, Thank you for your time and have a good day/evening.
Yes (if yes) Thank you. The following questions have been approved by the Office of Management and Budget under number 1660-0036. Please be assured your answers will not affect the outcome of your application for FEMA assistance.
OVERALL SATISFACTION
All right, we'll start with a few very general questions.
OVERALL SATISFACTION
All right, we'll start with a few very general questions.
1. Overall, how would you rate the support you received from FEMA since the disaster occurred? Would you say it's been... (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know / No opinion / Do not remember)
(If response = Below Average or Poor go to Q1a, otherwise go to Q2)
(If don’t know, Q1 thoroughly probe. If no response, end the survey. Thank you for your time.
T
Programming
Note: If DN/NO/DNR the Next Question button will return to or pull
up a copy of Introduction screen where the Attempt Type will be
coded as “Do not remember ”
1a. In what way was the support (Below Average / Poor)? (Do not read list. Mark all that apply.)
Inspection issues
Insufficient award
Process too complicated
Programs not explained clearly
Poor Customer Service
Timeliness of award
Wrong Information/inconsistent
Other
2. And how would you rate the information you received from FEMA to help you recover since the disaster occurred? Would you say it's been …(Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know / No opinion)
(If response = Below Average or Poor go to Q2a, otherwise go to Q3)
2a. In what way was the information (Below Average / Poor)? (Do not read list. Mark all that apply.)
Inspection issues
Insufficient award
Process too complicated
Programs not explained clearly
Poor Customer Service
Timeliness of award
Wrong Information / inconsistent
Other
EXPECTATIONS
3. Thinking back to when the disaster was declared, has FEMA “Exceeded”, “Met”, or “Failed to meet” your expectations? (Read only first 3 responses.)
Exceeded
Met
Failed to meet
Had No Expectations
Don't Know
(If response = “Failed to meet” go to Q3a.)
3a. In what area did the agency fail to meet your expectations? (Do not read list. Mark all that apply.)
Appeal process
Award insufficient
Case processing
FEMA timeliness of response
Inspection issues
Process too complicated
Programs not explained clearly
Poor Customer Service
Timeliness of award
Wrong Information / inconsistent
Other
STRATEGIC RESPONSE
For this series of questions, please use a scale of Excellent Good, Satisfactory, Below Average or Poor. Considering all your interactions with FEMA, how would you rate FEMA on …
4a. Providing a Timely Response?
4b. Being Responsive to Customers?
4c. Providing Caring Customer Service?
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion)
5. Overall, how would you rate FEMA on building your trust and confidence? Would you say it was… (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion)
(If response = Below Average or Poor go to Q6a otherwise go to Q7)
5a. What do you think the reason would be? (Do not read list. Mark all that apply
Award insufficient
Awards not consistent
Award timeliness
FEMA needs to advertise more
FEMA needs to have stronger presence in the community
Process too complicated
Poor Customer Service
Wrong information / inconsistent
Other
6. What suggestions do you have to improve FEMA's image? (If none leave blank)
ONA FINANCIAL ASSISTANCE (This question will only be asked when ONA is disbursed by the state.)
These questions refer to your State’s Other Needs Assistance Program which may have helped with damages to your vehicle, clothing, household items, or other uninsured expenses.
7. How would you rate the financial assistance you received for these items in meeting your disaster related needs? Would you say it was… (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion)
(If response = Below Average or Poor go to Q8a, otherwise go to Q9)
7a. What caused you to give that rating? (Do not read list. Mark all that apply)
Award insufficient
Awards not consistent
Award timeliness
Inspection issues
Process too complicated
Poor Customer Service
Too much paperwork
Wrong information / inconsistent
Other
8. How would you rate the financial assistance in arriving within a reasonable amount of time? (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don’t know/No opinion)
(If response = Below Average or Poor go to Q9a, go to Q10 if received ONA disbursed by state or Q11 if no ONA or if ONA disbursed by FEMA.)
8a. What caused you to give that rating? (Do not read list. Mark all that apply)
Appeals process
Award timeliness
Inspection issues
Insurance delaying ONA help
Process too complicated
Too much paperwork
Wrong information / inconsistent
Other
HOUSING FINANCIAL ASSISTANCE The ONA question will only be asked when ONA is a state disbursed grant (“State” or “Joint” processed)
9. (Display this question if ONA is disbursed by State) FEMA's Housing Assistance Program may have helped you with the cost of repairs to your home or rental assistance. How would you rate FEMA’s financial assistance in covering your essential disaster related needs. Would you say it was..
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion) (If response = Below Average or Poor go to Q10a otherwise go to Q12)
9a. What caused you to give that rating? (Do not read list. Mark all that apply
Appeal process too difficult
Award insufficient to cover materials/labor
Award insufficient to cover Rental
Award insufficient to cover Personal Property
Damage Inspection accuracy
Inspector Customer Service
Process too complicated
SBA Issues
Too much paperwork
Timeliness of award
Wrong information / inconsistent
Other (Go to Q12)
10 -FEMA (Display this question if ONA is disbursed by FEMA) FEMA may have helped you with the cost of repairs to your home, rental assistance, and with damages to your vehicle, clothing, household items, or other uninsured expenses. How would you rate FEMA’s financial assistance in covering your essential disaster related needs? Would you say it was (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion) (If response = Below Average or Poor go to Q11a, otherwise go to 12)
10a. What caused you to give that rating? (Do not read list. Mark all that apply
Appeal process too difficult
Award insufficient to cover materials/labor
Award insufficient to cover Rental
Award insufficient to cover Personal Property
Damage Inspection accuracy
Inspector Customer Service
Process too complicated
SBA Issues
Too much paperwork
Timeliness of award
Wrong information / inconsistent
Other
11. How would you rate FEMA's housing financial assistance in arriving within a reasonable amount of time? (Read List)
Excellent
Good
Satisfactory
Below Average
Poor
(Don't know/No opinion)
(If response = Below Average or Poor go to Q12a, otherwise go to Q13)
11a.What caused you to give that rating? (Do not read list. Mark all that apply)
Appeals process
Award timeliness
Inspection issues
Insurance delaying FEMA help
Process too complicated
Too much paperwork
Wrong information / inconsistent
Other
CURRENT STAGE IN DISASTER
12. As of today, what is your level of recovery? Would you say you have… (Read List)
Completely Recovered
More than Halfway
Halfway
Less than Halfway
Not begun to recover
(Don't know/No opinion)
(If response = You are Less than Halfway or You have not begun to recover go to Q13a)
12a. Please tell me the main reason for that. … (Do not read list. Mark all that apply)
Award insufficient
Award pending
Contractors Issues
Inspection issues
Insurance issues
Process too complicated
Personal/emotional Issues
Repairs not complete
SBA Issues
Too much paperwork
Wrong information / inconsistent
Other
13. Thinking about FEMA's role in your recovery, would you say FEMA has been… (Read List)
Extremely helpful
Very helpful
Somewhat helpful
Not very helpful
Not at all helpful
(Don't know/No opinion)
(If response = Not very helpful or Not at all helpful go to Q14a, otherwise go to Q15.)
13a. Why do you feel that way? … (Do not read list. Mark all that apply.)
Award insufficient
Process too complicated
Process took too long
Guidelines Unfair
Other
AMERICAN RED CROSS
14. When you registered with FEMA, we may have advised you to contact the American Red Cross.
Did you contact them? (Do not read list.)
Yes
No
(Don’t know/Remember)
(If response = No go to 15a, otherwise go to Q16)
14a Why didn’t you contact the Red Cross? … (Do not read list. Mark all that apply.)
Didn't know how to
Didn't know I was supposed to
Don’t remember/don’t know why/forgot
No longer had an emergency need
Tried, but was unable to reach
Other
INTERNAL REVENUE SERVICE
15. When you registered with FEMA, we may have advised you to contact the Internal Revenue Service for possible tax relief. Did you contact that agency? (Do not read list.)
Yes
No
(Don’t know/Remember)
(If response = No go to 16a, otherwise go to Q17)
15a. Why didn’t you contact the Internal Revenue Service? (Do not read list. Mark all that apply.)
Accountant will contact the IRS
Didn't know I was supposed to
Don't remember/don’t know why/forgot
Losses not eligible
No longer had a need to
Too soon will later
Tried, but was unable to reach
Other
SMALL BUSINESS ADMINISTRATION
16. When you registered with FEMA, we may have referred you to the Small Business Administration for a low interest rate loan. Did you send in an application for this Disaster Assistance? (Do not read list. )
Yes
No
(Don’t know/don’t remember)
(If response = No go to 17a otherwise go to 18)
16a. Why didn’t you return the application? (Do not read list. Mark all that apply.)
Assumed not qualified/Credit rating
Did not want loan
Don't remember/don’t know why/forgot
FEMA funds sufficient
Insurance funds sufficient
Paperwork too complicated
Process too complicated
Other
FIRST CALL RESOLUTION TRAINING
17. After you registered, did you have a reason to call FEMA more than once about an unresolved issue?
(Do not read list.)
No
No, went on-line
Yes
Do not remember
(If response = Yes go to Q4a. If response = No, No, went on-line or
Do not remember go to Q5.)
17a. What was the main topic you called about? (Do not read list. Mark all that apply.)
Appeal process
Award Insufficient
Check Status
Clarification on FEMA call or letter
Correct Information on file
Inspection issues
Rental assistance
Other
17b. How many times did you call about the same topic? (Do not read list.)
2-3 times
4-5 times
6-10 times
11-15 times
Over 15
Do not remember
17c. To what extent was your issue resolved to your satisfaction? Would you say it was…(Read List)
Fully
Partially
Not at All
Pending
(Don’t Know)
(If response = Fully resolved or Don't know go to Q5, otherwise go to 4d)
17d. Why has your issue not been resolved? (Do not read list. Mark all that apply)
Award Insufficient
Appeal in progress
Documentation not received / lost
Did not understand next steps
Have not heard from FEMA
Insurance not received or paperwork lost
Other
SUGGESTIONS
18. FEMA is interested in getting your opinion on what we could do to improve our service. What other suggestions would you like to pass on to improve FEMA disaster assistance services that you haven’t already shared? (Suggestion 1, 2, or 3)
Select Category: Application Process, Award Criteria, Caller Services, Casework, Correspondence, Disability Access, Disaster Specific, Inspection Services, Internet, Mitigation/Buyout/Elevation, Public Information, or Other
CALL BACK
19. Your opinion is very valuable to us, may we call you at a later date to ask you some additional questions?
Yes (If “yes”) Thank you for your time. Have a good day/evening.
No (If “no”) I understand. Thank you for your time. Have a good day/evening.
File Type | application/msword |
File Title | PE&R Survey Screen shots |
Author | gfry |
Last Modified By | nbouchet |
File Modified | 2011-08-02 |
File Created | 2011-02-08 |