ABA Complainant Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ABA Customer Satisfaction Survey_Fillable PDF_Revised Final_5_17_18

ABA Complainant Customer Satisfaction Survey

OMB: 3014-0011

Document [pdf]
Download: pdf | pdf
Form Approved OMB 3014-0011 (Expiration Date: 1/31/2021)
Paperwork Reduction Act Notice: The estimated time burden for this survey is 4 minutes.
Federal agencies may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB Control Number. Send comments
regarding this burden estimate or any other aspect of this survey instrument to: PRA
Clearance Officer, Office of General Counsel, US Access Board, 1331 F. St., NW, Suite 1000,
Washington, DC, 20004.

U. S. ACCESS BOARD ABA CUSTOMER SATISFACTION SURVEY
The Access Board wants to know about your experience filing and resolving your recent complaint under
the Architectural Barriers Act (ABA). Your responses will help us provide better customer service.
Strongly
Agree

Agree

Neither
Agree nor
Disagree

Disagree

Strongly
Disagree

The Access Board staff was helpful and
1. courteous in responding to my concerns or
questions.
2.

The Access Board staff kept me informed of
the status of my complaint.

3.

The Access Board staff responded to my
concerns or questions in a timely manner.

The Access Board staff was knowledgeable
4. about my complaint and related accessibility
issues.
I was satisfied with the efforts made to address
5. the accessibility issues I raised in my
complaint.
6.

The amount of time taken to address my
complaint was reasonable.

7.

I was satisfied with the outcome or result I saw in
the facility about which I filed a complaint.

8. Was the accessibility barrier about which you filed a complaint eventually removed or corrected?

Yes

No

9. Was this the first complaint you had filed with the Access Board?

Yes

No

10. How did you learn about the Access Board?

Independent Living Center

Client Assistance Program

Referral by Another Agency

Internet

Newspaper

Word of Mouth

Other (please explain):
11. (Optional) Please provide your suggestions or comments on ways to improve our handling

of ABA accessibility complaints:

12. (Optional) Please provide your ABA complaint number: _____________
Thank you for taking the time to complete this survey. We appreciate your assistance!


File Typeapplication/pdf
File TitleUS Access Board ABA Customer Satisfaction Survey
SubjectABA, customer satisfaction, survey
AuthorUS Access Board
File Modified2018-05-18
File Created2018-04-25

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