1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft
1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft.xlsx
E-Government Website Customer Satisfaction Surveys
1090-0008 Survey Mapping Document (FEMA) IA 30739 A1_draft
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download:
xlsx |
pdf
Overview
Claim Examination
Claim Filing
Claim adjustments
Sheet 1: Claim Examination
| Survey: |
FEMA |
|
| IA#: |
30739 Amend 1 |
|
| Date: |
|
|
|
|
|
| SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
| Survey Q# |
Type# |
Type Topic |
| 1 |
Standard |
Satisfaction - Overall |
| 2 |
Standard |
Satisfaction - Expectations |
| 3 |
Standard |
Satisfaction - Ideal |
| 4 |
Standard |
Recommend Company |
| 5 |
Standard |
Trust |
| 6 |
Standard |
Renew |
| 7 |
Custom |
Event |
| 8 |
Custom |
Property type |
| 9 |
Custom |
Claim stages |
| 10 |
Custom |
adjuster contacted |
| 11 |
Custom |
adjuster visited |
| 12 |
Custom |
adjuster sent estimate |
| 13 |
Custom |
adjuster instructed |
| 14 |
Custom |
adjuster clarity |
| 15 |
Custom |
adjuster not clear |
| 16 |
Custom |
process simplicity |
| 17 |
Custom |
other process simplicity |
| 18 |
Custom |
help needed post visit |
| 19 |
Custom |
help sought how |
| 20 |
Custom |
other help sought how |
| 21 |
Custom |
help obtained |
| 22 |
Custom |
PH adjuster sat |
| 23 |
Custom |
other PH adjuster low sat |
| 24 |
Custom |
PH matters most |
| 25 |
Custom |
PH adjuster matters most |
| 26 |
Custom |
Other PH adjuster matters most |
| 27 |
Custom |
Other improve |
| 28 |
Custom |
gender |
| 29 |
Custom |
age |
| 30 |
Custom |
state |
| 31 |
Custom |
IV Island |
Sheet 2: Claim Filing
| Survey: |
FEMA |
|
| IA#: |
30739 Amend 1 |
|
| Date: |
|
|
|
|
|
| SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
| Survey Q# |
Type# |
Type Topic |
| 1 |
Standard |
Satisfaction - Overall |
| 2 |
Standard |
Satisfaction - Expectations |
| 3 |
Standard |
Satisfaction - Ideal |
| 4 |
Standard |
Recommend Company |
| 5 |
Standard |
Trust |
| 6 |
Standard |
Renew |
| 7 |
Custom |
Guidance clarity |
| 8 |
Custom |
other guidance clarity |
| 9 |
Custom |
process simplicity |
| 10 |
Custom |
other process simplicity |
| 11 |
Custom |
primary reason |
| 12 |
Custom |
report loss |
| 13 |
Custom |
other report method |
| 14 |
Custom |
site navigation |
| 15 |
Custom |
other site navigation |
| 16 |
Custom |
rep/agent sympathetic |
| 17 |
Custom |
Rep/Agent Knowledgeable |
| 18 |
Custom |
Rep/Agent Obtain Assistance |
| 19 |
Custom |
Rep/Agent Courteousness |
| 20 |
Custom |
Call Answered Promptly |
| 21 |
Custom |
Additional Info |
| 22 |
Custom |
Find info |
| 23 |
Custom |
Where to find info |
| 24 |
Custom |
other where to find info |
| 25 |
Custom |
other what info missing |
| 26 |
Custom |
billing timing |
| 27 |
Custom |
claim empowerment |
| 28 |
Custom |
do next |
| 29 |
Custom |
other do next |
| 30 |
Custom |
other improve |
| 31 |
Custom |
previous claim |
| 32 |
Custom |
previous claim sat |
| 33 |
Custom |
Other not sat |
| 34 |
Custom |
gender |
| 35 |
Custom |
age |
| 36 |
Custom |
property type |
| 37 |
Custom |
state |
| 38 |
Custom |
IV island |
Sheet 3: Claim adjustments
| Survey: |
FEMA |
|
| IA#: |
30739 Amend 1 |
|
| Date: |
|
|
|
|
|
| SURVEY TYPE: |
Relationship (tab 4) |
|
|
|
|
| Survey Q# |
Type# |
Type Topic |
| 1 |
Standard |
Satisfaction - Overall |
| 2 |
Standard |
Satisfaction - Expectations |
| 3 |
Standard |
Satisfaction - Ideal |
| 4 |
Standard |
Recommend Company |
| 5 |
Standard |
Trust |
| 6 |
Standard |
Renew |
| 7 |
Custom |
Event |
| 8 |
Custom |
property type |
| 9 |
Custom |
claim stages |
| 10 |
Custom |
adjuster contacted |
| 11 |
Custom |
adjuster visited |
| 12 |
Custom |
adjuster sent estimate |
| 13 |
Custom |
adjuster instructed |
| 14 |
Custom |
adjuster clarity |
| 15 |
Custom |
other adjuster not clear |
| 16 |
Custom |
process simplicity |
| 17 |
Custom |
other process simplicity |
| 18 |
Custom |
Help needed post visit |
| 19 |
Custom |
help sought how |
| 20 |
Custom |
other help sought how |
| 21 |
Custom |
help obtained |
| 22 |
Custom |
PH adjuster Sat |
| 23 |
Custom |
other PH adjuster low sat |
| 24 |
Custom |
PH matters most |
| 25 |
Custom |
PH-Adjuster Matters Most |
| 26 |
Custom |
Other PH-Adjuster Matters Most |
| 27 |
Custom |
Improve |
| 28 |
Custom |
gender |
| 29 |
Custom |
age |
| 30 |
Custom |
state |
| 31 |
Custom |
IV island |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |