Satisfaction questionnaire

Satisfaction questionnaire_enclosure 6.docx

Generic Clearance for Internet Panel Pretesting and Qualitative Survey Methods Testing

Satisfaction questionnaire

OMB: 0607-0978

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Questionnaire for Satisfaction

Please Note: The questionnaire will be electronic with word labels on either end of 7 radio buttons. See image below for an idea of what the final format will look like.


  1. Overall experience with the online form



Unpleasant to Pleasant


  1. The screens on the online form are visually pleasing



Never to Always


  1. The screens on the online form look professional



Never to Always


  1. Characters (words/text) on the screen



Barely legible to Very legible


  1. The questions in the online form follow a logical sequence



Never to Always


  1. Words used in the online form questions and answers



Hard to understand to Easy to understand


  1. Coming up with answers to the questions in the online form



Never bothered me to Always bothered me


  1. Instructions for correcting errors



Confusing to Clear


  1. Entering your answers into the online form



Difficult to Easy


  1. You knew what to do if you needed help answering the questions in the online form



Never to Always


11. Additional Comments__________________________________________________________________





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorErica L Olmsted Hawala (CENSUS/CSM FED)
File Modified0000-00-00
File Created2022-03-24

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