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As the president of [ORGANIZATION], I want to thank you for giving us the ability to serve you. To help us improve our service, please take a couple of minutes to tell us about the service that you have received so far. We appreciate your membership and want to make sure that we meet all your expectations.

Sincerely,
[PRESIDENT_NAME]
President
 
 
Overall, how would you rate the quality of each of the following activities we engage in?
Poor Fair Good Very Good Excellent
Conferences
Newsletters
Special Events
Benefit Programs
 
 
 
Overall, how satisfied have you been with the [ORGANIZATION]?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Totally Satisfied
 
 
 
How long have you been a member of [ORGANIZATION]?
 
Less than 6 months
 
6 months to a year
 
1-2 years
 
3-5 years
 
Over 5 years
 
 
 
Which of the following events have you attended?
 
Networking Events
 
Annuals
 
Breakfast Speaker Events
 
Special One-Time Events

 
 
 
What suggestions do you have to help improve [ORGANIZATION]?
   
 
 
 
What was your primary reason for joining [ORGANIZATION]?
 
Networking
 
Member Benefit Program
 
Annual Event Discounts
 
Breakfast Speaker Events
 
Other
 
 
 
 
Experience
 
 
Did the menu of items on the home page make sense to you?
 
Yes
 
No
 
 
 
If no, what would you like to see changed?
   
 
 
 
Approximately how many pages did you browse during this visit?
 
1 to 3
 
3 to 5
 
5 to 8
 
More than 10
 
 
 
How satisfied are you with your experience with [WEB_SITE]?
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
 
If you are not totally satisfied, please describe the reasons for your dissatisfaction below.
   
 
 
 
What additional information or features would you like included on the [WEB_SITE]?
   
 
 
 
About You
 
 
 
How frequently do you visit [COMPANY] website?
 
First visit
 
Daily
 
Weekly
 
Monthly
 
Infrequently (less than once a month)
 
 
 
What prompted your visit today?
 
Doing research for work
 
Doing research for school
 
Recommendation of friend/associate
 
Just curious
 
Found the site while surfing
 
Wanted to download files
 
Looking for update on earlier information
 
Professional development
 
Linked from other site
 
Other
 
 
 
 
How would you rate yourself as an Internet user?
 
Expert
 
Good
 
Beginner
 
 
 
Optional:
 
 
 
Name:
   
 
 
 
Organization:
   
 
 
 
E-mail:
   
 
 
 
Please check all that apply to you:
 
Federal government official
 
Student
 
Program manager
 
State government official
 
Faculty member
 
Researcher
 
Local government official
 
IT professional
 
Other
 

 
 
 
Tell us how often you visit our site.


 
Everyday
 
Once a week
 
Once in two weeks
 
Once a month
 
Rarely
 
Other
 
 
 
 
When you visit the site, are you using the computer from



 
Office
 
Home (including a home office)
 
Equally from the home and office
 
Other
 
 
 

Please tell us why you visit our site (please check all that apply)?
 
Looking for general information
 
Looking for rules/regulations
 
Looking for forms
 
Looking for facility information
 
Looking for regulatory information
 
Looking for Upgrade Information
 
Looking for Qualified Professional/Consultant Information
 
Looking for news (Meetings, Seminars, Calendar, Public Hearings etc)
 
Looking for Contact Information (Agency and Staff Phone #s, Mailing Address etc)
 
Research for Work
 
Research for School
 
Download files
 
Professional Development
 
Looking for update on earlier information
 
Other
 

 
 

Several state agencies have moved on to e-commerce, that is, conducting business on-line. If [COMPANY/AGENCY] provided a web site, would you take advantage of conducting the following [AGENCY] businesses online?
 
Payment of _____ fees
 
Payment of _____ fees
 
Payment of plan review fees
 
Payment of _____ application fees
 
Payment of _____ related charges
 
Submission of reports, such as _____, _____, site assessments etc
 
Registration of _____
 
Register for seminars and expos
 
_____ application process
 
Overnight shipping and handling charges for important documents/reports
 
Other (please specify)

 
 
 
Would you say our web site is:
 
Very attractive
 
Somewhat attractive
 
Average
 
Not very attractive
 
Not attractive at all
 
 
 
How much effort did you have to take to find our web site?

 
A lot less than I expected
 
Less than I expected
 
About what I expected
 
More than I expected
 
A lot more than I expected
 
 
From what you have seen and your experience with other sites, please rate the following features of the web page:
Poor Fair Good Very good Excellent Not sure
Visual appearance/layout:
Content:
Writing style:
 
 
 
From your experience, what do you find to be the biggest challenge with using our site?






 
I am new to the Internet
 
Information I am looking is not available
 
Information is not well organized
 
There is just too much information
 
Hard to navigate through the information
 
Takes too long to load a page
 
Downloadable files or forms are in a format I cannot use
 
Other (please specify)
 
 
 
 
Did the menu of items on the home page make sense to you?

 
Yes
 
No
 
 
 
How did you hear about the Website?




 
Literature: list source here
 
Literature: list source here
 
Literature: list source here
 
Literature: list source here
 
Hotline
 
Dealer
 
Industry consultants
 
Newsletters/literature
 
Media (newspaper, radio, TV)
 
Associate/friend
 
Followed Link from another web page
 
Search engine
 
Other (Please Specify)
 
 
 
 
We would like to hear your suggestions on how we can expand or improve our site. What additional information or features would you like to see added to the site?
   
Email
   
 
Please contact [email protected] if you have any questions regarding this survey.
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