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DisasterAssistance.gov Satisfaction Survey

A red asterisk (*) indicates a required field.

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1. How did you find out about our website?  Select all that apply: *
2. How would you rate your overall online experience? *
Want to share more details? You can enter them in the box below. Note: This text is NOT protected. DO NOT share anything that can identify you here.
3. Were you able to complete the purpose of your visit? *
Want to share more details? You can enter them in the box below. Note: This text is NOT protected. DO NOT share anything that can identify you here.
4. Will you recommend this website to a friend or colleague? *
Want to share more details? You can enter them in the box below. Note: This text is NOT protected. DO NOT share anything that can identify you here.
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5. How would you rate the website's "Search" feature? *
Want to share more details? You can enter them in the box below. Note: This text is NOT protected. DO NOT share anything that can identify you here.
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6. Would you come back to our site if you could get the same information or service from another source? *
Want to share more details? You can enter them in the box below. Note: This text is NOT protected. DO NOT share anything that can identify you here.
1000 characters allowed
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The following information is not required but will help us see who uses our site. There is also an option for you to volunteer to talk with us in the future. But, if you want to skip the questions, simply click Submit at the bottom of the page.

8. Which of the following devices did you use to access the DisasterAssistance.gov website?
9. Which category below includes your age?
10. How often do you access the Internet?
11. When you access the Internet, which of the following do you usually do? (check all that apply)

At times we are given the opportunity to speak directly with disaster survivors to find out how we can make your online experience better.  If you would like to be contacted in the future for additional feedback, please send your name, city/state and email address to DAIP-PMO@fema.dhs.gov.  *NOTE - Please do not include any additional personal information when sending your information to the above email address.

The information you provide will only be used for website feedback.  Providing your name and email will not impact your Disaster Assistance Application or FEMA's decision. We are unable to provide additional information about your application.  If you have any questions about your application or need additional help, please contact 1-800-621-FEMA (1-800-621-3362), TTY 1-800-462-7585 or 711 or VRS 1-800-621-3362.

An official form of the United States government. Provided by Touchpoints
OMB Approval #1660-0130 · Expiration Date 01/31/2025