Page 1 of 1
Survey Respondent Satisfaction Form —
OECS DDM Project
To assess respondent experience, transparency of the survey process and ethical conduct of enumerators.
Section 1: Basic Information
Date
*
Community/Location
*
Gender
*
Gender
A
Male
B
Female
Age Group
*
Age Group
A
18-35
B
36-55
C
56+
Section 2: Survey Experience
Which survey was administered to you?
*
Which survey was administered to you?
A
Survey of Living Conditions and Household Budget Survey (SLC-HBS)
B
Labour Force Survey (LFS)
C
Other
Were you informed about the purpose of the survey?
*
Were you informed about the purpose of the survey?
A
Yes
B
No
C
Not sure
Did you feel comfortable participating?
*
Did you feel comfortable participating?
A
Yes
B
No
C
Somewhat
Rate behaviour of survey personnel/team:
*
Rate behaviour of survey personnel/team:
A
Very Professional
B
Professional
C
Fair
D
Poor
Were you treated with respect?
*
Were you treated with respect?
A
Yes
B
No
Were the questions clear?
*
Were the questions clear?
A
Yes
B
No
C
Somewhat
Duration of survey:
*
Duration of survey:
A
-15 mins
B
15-30 mins
C
30-60 mins
D
1 hour+
E
Not sure
Section 3: Privacy and Confidentiality
Did you feel your information will be kept confidential?
*
Did you feel your information will be kept confidential?
A
Yes
B
No
C
Not sure
Section 4: Issues / Grievances
Any concerns about data use?
*
Any concerns about data use?
A
No
B
Yes (describe)
Were any issues experienced?
*
Were any issues experienced?
A
No
B
Yes (describe)
Would you like a follow-up?
*
Would you like a follow-up?
A
No
B
Yes
Section 5: Suggestions (Optional)
What did you like?
What can be improved?
Submit
