Post-Event Survey

Generic Information Collection Plan for the Collection of Qualitative Feedback on Bureau Service Delivery

Post-Event Survey

OMB: 3170-0024

Document [pdf]
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Consumer Financial Protection Bureau
Customer Experience Survey #2
Post-Event Survey
Purpose: Measure customer satisfaction after Bureau events and trainings.
Privacy Act Statement
5 U.S.C. 552a(e)(3)
The information you provide through your responses to the Bureau of Consumer Financial
Protection (“Bureau”) will be used post-event to evaluate any Bureau programs.
The Bureau may collect your email address.
Information collected on behalf of the Bureau is treated in accordance with the System of
Records Notice (“SORN”), CFPB.013, https://www.federalregister.gov/
articles/2012/09/27/2012-23756/privacy-act-of-1974-as-amended. Although the Bureau does
not anticipate further disclosing the information provided, it may be disclosed as indicated in the
Routine Uses described in the SORN.
This collection of information is authorized by Pub. L. No. 111-203, Title X, Sections 1013 and
1022, codified at 12 U.S.C. §§ 5493 and 5512.

Participation in this survey is voluntary.
Paperwork Reduction Act Statement
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and
not withstanding any other provision of law a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The OMB control number for this
collection is 3170-0024. It expires on XX/XX/XXXX. The time required to complete this
information collection is estimated to average approximately 3 minutes per response.
Comments regarding this collection of information, including the estimated response time,
suggestions for improving the usefulness of the information, or suggestions for reducing the
burden to respond to this collection should be submitted to the Bureau of Consumer Financial
Protection (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552, or by email to
CFPB_PRA@cfpb.gov.

Question

Answer Options

1. Please let us know where you work.

Part 1 - [Department / Org / Sector / Etc.] (drop
down menu
or open field)
Part 2 - [Sub-category. Ex. Local gov] (drop down
menu
or open field)

2. Overall, how would you rate your satisfaction
with this event?

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

3. After attending our event, how confident do
you feel in your knowledge of [SUBJECT
MATTER]?

Not at all
Slightly
Moderately
Very
Extremely

4. How effective were the presentations on
conveying the materials?

Not at all
Slightly
Moderately
Very
Extremely

5. How useful will this material be in your work?

Not at all
Slightly
Moderately
Very
Extremely

6. How would you rate your satisfaction with the
presenter(s)?

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Important note about Open-Ended questions:
Please do not share any Personally Identifiable Information (PII), including, but not limited to, your name,
address, phone number, email address, Social Security number, etc.
7. Was the venue and content fully accessible
to you?

Yes
No (with text box)

8. Would you recommend this
workshop/session to someone else in your
position?

Yes
No

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
9. Employees I interacted with were helpful.

N/A

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
10. I felt comfortable asking questions.

N/A

11. Did you experience any technical
difficulties? If yes, briefly explain.

No
Yes (with text box)

12. How did you hear about this event? (click all
that apply)

Direct email from a friend/colleague
Email listserv
Flyer
Social media
Website
Word of mouth
[INSERT OPTION]
Other: (open field)

13. What could we improve for next time?

Open Ended

14. Please provide any additional comments
you may have.

Open Ended

Could we contact you if we have any more
questions?

Yes - Please provide your email
____________
No

Thank you for helping us improve our services.


File Typeapplication/pdf
File TitleBureau CSS Combined (3).pdf
Authorgalleherm
File Modified2022-03-07
File Created2022-03-07

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