MQ120 Foreign Service Spouse and Partner Orientation

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

MQ120_Foreign_Service_Spouse_and_Partner_Orientation draft

MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey

OMB: 1405-0193

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MQ120 Foreign Service Spouse and
Partner Orientation
Start of Block: Survey Intro
Foreign Service Spouse and Partner Orientation Evaluation Survey
Thank you for taking the time to complete the Foreign Service Spouse and Partner
Orientation Evaluation Survey for the session on {Date}.
Your feedback will help us improve our content and delivery for future instances of Foreign
Service Spouse and Partner Orientation. Your responses will be kept confidential.
The survey should take no more than 5 minutes to complete.

PRA hold
If this course has more than 10 non-government employees enrolled in your course per year
then a PRA-approved survey message will need to be included here.
The verbiage will be provided to you after the survey has been approved by the GIS/DIR office
and should replace this message. If this is not applicable, this block of text can be removed.
End of Block: Survey Intro
Start of Block: Evaluation Core Questions

Page 1 of 8

Please indicate your level of agreement with the following statement:
Neither
Strongly
Somewhat
Somewhat
agree nor
disagree (1)
disagree (2)
agree (4)
disagree (3)

Strongly
agree (5)

The
knowledge,
skills, and/or
attitudes I
have learned
in this course
will help me
be more
prepared (1)

o

o

o

o

o

I am
confident I
will be able to
apply what I
learned in
this course
(2)

o

o

o

o

o

This course
kept me
actively
engaged (3)

o

o

o

o

o

Please indicate how you would describe the quality of the course overall:

o Terrible (1)
o Poor (2)
o Average (3)
o Good (4)
o Excellent (5)
End of Block: Evaluation Core Questions
Start of Block: Division-Specific Questions

Page 2 of 8

The following objectives were clearly identified:
Strongly
disagree (1)

Somewhat
disagree (2)

Neither
agree nor
disagree (3)

Somewhat
agree (4)

Strongly
agree (5)

Gain initial
familiarity with
the Foreign
Service
lifestyle. (1)

o

o

o

o

o

Develop an
understanding
of the
services
available
through the
Department of
State for
employees,
family
members and
Members of
Household.
(2)

o

o

o

o

o

Receive an
introduction to
FSI and the
services of
the Overseas
Briefing
Center. (3)

o

o

o

o

o

Understand
an overview
of the bidding
process and
how
assignments
are made. (4)

o

o

o

o

o

Page 3 of 8

The following objectives were achieved:
Strongly
disagree (1)

Somewhat
disagree (2)

Neither
agree nor
disagree (3)

Somewhat
agree (4)

Strongly
agree (5)

Gain initial
familiarity with
the Foreign
Service
lifestyle. (1)

o

o

o

o

o

Develop an
understanding
of the
services
available
through the
Department of
State for
employees,
family
members and
Members of
Household.
(2)

o

o

o

o

o

Receive an
introduction to
FSI and the
services of
the Overseas
Briefing
Center. (3)

o

o

o

o

o

Understand
an overview
of the bidding
process and
how
assignments
are made. (4)

o

o

o

o

o

Page Break

Page 4 of 8

What did you like about this course or find most helpful about this course?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

General comments/suggestions for improving this course:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Division-Specific Questions
Start of Block: Demographic Questions

Page 5 of 8

Are you affiliated with:

o Department of State (1)
o U.S. Agency for International Development (USAID) (2)
o Department of Agriculture (USDA) (3)
o Department of Commerce (4)
o Department of Defense (DOD) (5)
o Centers for Disease Control (CDC) (7)
o Drug Enforcement Administration (DEA) (8)
o Department of Justice (DOJ) (9)
o Federal Bureau of Investigation (FBI) (10)
o Department of Homeland Security (11)
o Peace Corps (12)
o Other: (6) __________________________________________________

Page 6 of 8

Which best describes you?
(select all that apply)

▢
▢
▢
▢
▢
▢
▢
▢
▢
▢

Foreign Service Generalist (DOS) (1)
Foreign Service Specialist (DOS) (2)
Foreign Service (Other Agency) (3)
Civil Service (9)
Eligible Family Member (4)
Member of Household (5)
Contractor / Personal Service Contractor (6)
Re-employed Annuitant / When Actually Employed (11)
Locally Employed Staff / Foreign Service National (7)

Other (please specify): (8)
__________________________________________________

Page Break

Page 7 of 8

Current Grade Level:

o SFS, SES, SL, or equivalent (1)
o FS-01, GS-15, or equivalent (2)
o FS-02 to 03, GS-13 to 14, FSN-12, or equivalent (3)
o FS-04 to 06, GS-09 to 12, FSN-08 to 11, or equivalent (4)
o FS-07 to 09, GS-05 to 08, FSN-05 to 07, or equivalent (5)
o GS-04 or lower, FSN-04 or lower (6)
o Not applicable (Contractor, EFM, or Other) (7)
How many years have you been affiliated with your agency as a direct hire, contractor,
and/or family member?

o 0 - 5 (1)
o 6 - 10 (2)
o 11 - 15 (3)
o 16+ (4)
End of Block: Demographic Questions

Page 8 of 8


File Typeapplication/pdf
File TitleMQ120 Foreign Service Spouse and Partner Orientation
AuthorQualtrics
File Modified2024-02-29
File Created2024-02-29

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