FEMA Form 007-0-19 Internet Inquiry Survey
Form Named Revised To: Internet Inquiry Phone Survey
LOCATION OF CURRENT TEXT QUESTION NUMBER |
CURRENT TEXT |
REVISED TEXT |
Introduction For Phone Survey |
Hello, I’m calling from FEMA, the Federal Emergency Management Agency. My name is ___. My ID # is _________. May I please speak with (Applicant) or the person who checked their application status over the Internet?
If no: Thank you for your time and have a good day/evening. 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 4 - 7 minutes to answer some questions?
If no: I understand, Thank you for your time and have a good day/evening) If yes: These questions comply with the Privacy Act of 1974 and have been approved by the Office of Management and Budget under number 1660-0036. Your answers will not affect the outcome of your application for FEMA assistance. This call may be monitored for quality assurance. |
Hello, I’m calling from FEMA, the Federal Emergency Management Agency. My name is ___. My ID # is _________. May I please speak with (Applicant) or the person who recently checked their application status over the Internet?
If no: What would be a better time to call back? Thank you for your time and have a good day/evening.
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 5 - 7 minutes to answer some questions?
If no: What would be a better time to call back? Thank you for your time and have a good day/evening) If yes: Thank you. These questions comply with the Privacy Act of 1974 and have been approved by the Office of Management and Budget under number 1660-0036. Your answers will not affect the outcome of your application for FEMA assistance. This call may be monitored and/or recorded for quality assurance. |
1. |
1. Which of the following websites did you access to apply for disaster assistance? DisasterAssistance.gov FEMA.gov Don't Remember If DisasterAssistance.gov or FEMA.gov go to question 1a otherwise go to question 2. |
Revised skip
If DisasterAssistance.gov or FEMA.gov go to question 1a otherwise go to question 1b.
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1a. |
1a. How did you find out about that website? Newspaper Radio Community Group Television Flyer Friend or Family Disaster Worker Internet Search Other |
1a. How did you find out about the [DisasterAssistance.gov/FEMA.gov] website?
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1b. Did you use an internet-enabled smart phone to access your disaster assistance application?
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Transition New |
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Transition New The website provided a variety of options such as Applying for FEMA assistance online or accessing your account to check your application status. There was also an option to find assistance by taking an Anonymous Questionnaire with no log in or personal information required. |
2. |
2. You were offered an option to take an anonymous Pre-Screening Questionnaire. Did you take the questionnaire? Yes No Don't Remember If yes go to question 2a otherwise go to question 3. |
2. Revised Did you use the online anonymous questionnaire on the DisasterAssistance.gov website to get a personalized list of possible assistance?
If yes go to question 2a otherwise go to question 3. |
2a. |
2a. This series of questions relate only to that questionnaire. How would you rate questions on being easy to understand? Would you say: Extremely Easy Very Easy Easy Not Very Easy Not At All Easy No Opinion If Not Very Easy or Not At All Easy go to question 2b otherwise go to question 3. |
2a. This series of questions relates only to the online anonymous questionnaire you used to find other Forms of Assistance. How would you rate the questions on being easy to understand? Would you say:
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2b. |
2b. After completing the questionnaire you may have received information about other agencies. How helpful was that information? Would you say: Extremely Helpful Very Helpful Helpful Not Very Helpful Not At All Helpful No Opinion If Not Very Helpful or Not At All Helpful go to question 2c otherwise go to question 3. |
2b. Revised After completing the online anonymous questionnaire, you may have received information about other agencies. How helpful was that information? Would you say:
If Not Very Helpful or Not At All Helpful go to question 2c otherwise go to question 3. |
2c. |
2c. How could the information have been more helpful? More concise information More detailed information Provide contact phone number Provide web address Make less complicated Personalized information Other |
2c. How could the information about other agencies have been more helpful?
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Introduction 3. |
3. The website provided the ability to browse information by category or by agency. How helpful was it to browse by: |
3.Revised The website also provided options to browse information by Category or by Federal Agency. How helpful was it to browse by:
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3a. |
3a. Category? Extremely Helpful Very Helpful Helpful Not Very Helpful Not At All Helpful Did not use this Method No Opinion |
No change |
3b |
3b. What about by Agency? Extremely Helpful Very Helpful Helpful Not Very Helpful Not At All Helpful Did not use this Method No Opinion |
No change |
4. |
4. Overall, how would you rate this website for obtaining disaster assistance information? Would you say it was: Excellent Good Satisfactory Below Average Poor No Opinion If Below Average or Poor go to question 4a otherwise go to question 5. |
No change |
4a. |
4a. Tell me a little about your reasons for that rating. Difficulty navigating the screens No contact phone numbers on referrals Questions hard to understand No web address / link on referrals Response option hard to understand Technical problems Referrals were too lengthy Referrals were hard to understand Other |
4a. Revised Please tell me your reasons for that rating.
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Introduction |
For the next questions please think only about your experience in using the internet to view or change your disaster assistance application. |
Revised For the next questions please think only about your experience in using the internet to view, update or upload information to your FEMA application. |
5. |
5. Overall, how would you rate that experience? Would you say it was: Excellent Good Satisfactory Below Average Poor No Opinion If Below Average or Poor go to question 5a otherwise go to question 6. |
No change |
5a. |
5a. Tell me a little about your reasons for that rating. System was difficult to use Instructions were hard to understand Took too long to view / edit information Help Page information was not clear Technical problems Did not provide information needed Other |
5a. Revised Please tell me your reasons for that rating.
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6. |
6. Each screen included a "Help for this page" button to assist you in filling out your application. Would you say the help information was…. Excellent Good Satisfactory Below Average Poor Did not use If Below Average or Poor go to question 6a otherwise go to question 7. |
No change |
6a. |
6a. In what way was the help information Below Average or Poor? Information was too complicated Did not understand the terms used Not enough information provided Other |
No change |
7. |
7. The Application Overview screen provided a summary of the categories of assistance, status of your Claim, date approved and eligible amount. How would you rate this section on providing needed information? Would you say that information was… Excellent Good Satisfactory Below Average Poor Did Not Use No Opinion If Below Average or Poor go to question 7a otherwise go to question 8. |
No change |
7a. |
7a. What were your reasons for that rating? Did not understand Category Information Did not understand Status Information Not enough details provided Help instructions not clear Other |
7a. Revised What were your reasons for that rating?
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8. |
8. The Correspondence screen summarized correspondence sent from FEMA as well as letters and faxes you sent to FEMA. How would you rate this section? Would you say that information was.. Excellent Good Satisfactory Below Average Poor Did Not Use No Opinion If Below Average or Poor go to question 8a otherwise go to question 9. |
8. Revised The Correspondence screen provided information on letters and documents sent by FEMA as well as those received from you. How would you rate this section? Would you say that information was..
If Below Average or Poor go to question 8a otherwise go to question 9. |
8a. |
8a. In what way was the correspondence information Below Average or Poor? Items requested by FEMA were difficult to understand Items I sent to FEMA were not listed as received Summary of letter was difficult to understand Help instructions not clear Other |
8a. Revised In what way was the correspondence information Below Average or Poor?
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9. New Have you uploaded documents directly to your account rather than using fax or mail?
If Yes go to question 9a otherwise go to question 9c. |
New |
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9a. new How would you rate the document upload process? Would you say it was:
If Below Average or Poor go to question 9b otherwise go to question 9c. |
New |
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9b. New What suggestions do you have for improving the upload process? |
New |
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9c. New FEMA disaster assistance applicants can receive alerts to login to their online account to view new information. Are you receiving Text Message Alerts?
If Yes go to 9d otherwise go to question 10. |
New |
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9d. New How would you rate the alert notification process in helping you stay informed about your application? Would you say it was…
If Below Average or Poor go to question 9e otherwise go to question 10. |
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9e. New What suggestions do you have for improving the alert notification process? |
9. |
9. The Agency screen provided contact information for other agencies or organizations that may be able to assist you. Would you say that information provided was.. Excellent Good Satisfactory Below Average Poor Did Not Use No Opinion If Below Average or Poor go to question 9a otherwise go to question 10. |
10. No change |
9a. |
9a. In what way was the information Below Average or Poor? Description of agency services was difficult to understand Agency contact information was incomplete No agency found for assistance needed Help instructions not clear Other |
10a. Revised In what way was the information about other agencies or organization [Below Average/Poor]?
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10. |
10. Did you call the website's Technical Support 800 number about a technical problem? Yes No If yes go to question 10a otherwise go to question 11. |
11. Revised Did you call the website’s Technical Support toll free number for assistance with technical problems?
If yes go to question 11a otherwise go to question 12. |
10a. |
10a. Thinking only about your communications with Technical Support, how would you rate the service your received? Would you say it was… Excellent Good Satisfactory Below Average Poor No Opinion If Below Average or Poor go to question 10b otherwise go to question 11. |
11a. No change |
10b. |
10b. In what way was the support Below Average or Poor? 800 Number Tech did not answer question Took too long to get through to 800 number 800 Number gave incorrect information 800 Number Poor Customer Service Other |
11b. Revised In what way was the service from Technical Support [Below Average/Poor]?
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11. |
11. If you need to check on your FEMA application again how likely would you be to use the internet? Would you… Definitely use Probably use Might or Might Not use Probably would Not use Definitely would Not use No Opinion If Probably would Not use or Definitely would Not use go to question 11a otherwise go to question 12. |
12. Revised In the future, should you need to check on your FEMA application, how likely are you be to use the online application? Would you…
If Probably would Not use or Definitely would Not use go to question 12a otherwise go to question 13. |
11a. |
11a. What changes are needed to increase the likelihood? |
12a. Revised What changes are needed to increase the likelihood of you using the online application in the future? (Text Box) |
12. |
12. Would you recommend the site to a friend or family member? Yes No Do Not Know |
13. Revised Would you recommend the DisasterAssistance.gov site to a friend or family member?
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Closing 13. |
13. Your opinion is very valuable to us; may we call you at a later date to ask you some additional questions? If Yes: Thank you for your time. Have a good day/evening. If No: I understand. Thank you for your time. Have a good day/evening. |
14. No change |
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File Type | application/msword |
File Title | FF-####, TITLE |
Author | FEMA Employee |
File Modified | 2013-12-18 |
File Created | 2013-12-18 |