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Customer Experience

U.S. Government Support Program Experience Survey

Captures how people applying for or using U.S. government support programs (unemployment, SNAP, Medicaid, housing assistance, etc.) actually experience the process — from applying to getting help when something goes wrong. An AI follow-up interview digs into the specific moment that made the process feel easy or frustrating, giving program teams concrete friction points instead of vague satisfaction scores.

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設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全13問・約7分
Q01
メッセージ

Thanks for taking a few minutes to share your experience with a government support program. Your responses are completely confidential and anonymized. There are no right or wrong answers — we just want to understand what actually happened. This takes about 5 minutes.

Q02
選択式必須

Which of the following government support programs have you personally applied for or used in the last 12 months?

  • Unemployment insurance
  • SNAP / food assistance
  • Medicaid or other health coverage assistance
  • Housing or rental assistance
  • Disability benefits
  • Social Security or retirement benefits
  • Small business or economic relief assistance
  • Other
Q03
選択式必須

Thinking about the program you used most recently, how did you primarily apply or interact with it?

  • Online portal or website
  • Phone call with a representative
  • In-person at an office
  • Mail-in paper application
  • Through a caseworker or community organization
Q04
オピニオンスケール必須

Overall, how easy or difficult was it to apply for and get set up on that program?

スケール: 1 – 7
最小:Extremely difficult最大:Extremely easy
Q05
評価スケール必須

How would you rate your interactions with staff or representatives during this process?

範囲: 1 – 5
最小:Very poor最大:Excellent
Q06
マトリクス必須

How much do you agree with each statement about your experience with this program?

6行 × 5列
  • Instructions and eligibility rules were easy to understand
  • I knew what documents or information I needed upfront
  • I was able to track the status of my application or case
  • Wait times for a decision or response were reasonable
  • I received updates without having to chase them down
  • ほか1件
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q07
オピニオンスケール必須

How confident are you that this program would treat your case fairly if something went wrong or you needed to appeal a decision?

スケール: 0 – 10
最小:Not at all confident最大:Extremely confident
Q08
ランク付け

Rank these areas from most in need of improvement to least, based on your own experience.

  1. Clarity of eligibility rules and required documents
  2. Speed of decisions and processing times
  3. Ease of the online application or portal
  4. Communication and status updates
  5. Staff knowledge and helpfulness
  6. Ease of resolving errors or appeals
ドラッグして順位を付ける
Q09
AIインタビュー

Reconstruct one specific moment from the respondent's most recent interaction with this program — what happened, what they expected, and how staff or the system responded. If they rated the process as difficult or gave low confidence in fair treatment, probe concretely what went wrong and what would have fixed it. If it was easy, probe what specifically made it feel effortless so it can be replicated elsewhere.

Q10
自由回答（長文）

Is there anything this program could have done differently that would have made a real difference for you?

Q11
選択式

Which age group do you fall into?

  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q12
選択式

Which of these best describes your annual household income?

  • Under $25,000
  • $25,000-$49,999
  • $50,000-$74,999
  • $75,000-$99,999
  • $100,000 or more
  • Prefer not to say
Q13
メッセージ

Thank you for sharing your experience. Your responses will be used, alongside others', to identify where government support programs can be made clearer, faster, and easier to navigate.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes an AI follow-up interview that reconstructs one specific moment from the respondent's most recent interaction with the program, surfacing concrete friction points instead of a generic satisfaction score
  • Combines structured measures (opinion scale on ease of applying, staff-interaction rating, agreement matrix, fairness-confidence scale, and a ranking of improvement areas) with open-ended probing for a fuller picture
  • Captures which programs respondents have applied for and how they applied, plus demographic context (age, household income) to segment friction points by group
  • Closes with a long-text question asking what could have been done differently, giving program teams direct, actionable respondent language rather than just scores

SurveyMonkey

USA Government Support Programs Survey Template & Sample Questions

This is a directly comparable, purpose-built template for surveying experiences with U.S. government support programs. It's a standard static survey form with fixed sample questions rather than an adaptive interview, so it's ready to field as-is but limited to whatever questions are pre-set or manually edited. No mention of AI-driven follow-up or per-response scoring.

優れている点

  • Purpose-built specifically for U.S. government support program experience surveys, same topic focus as our template
  • Backed by SurveyMonkey's large template library and established survey distribution/analysis tooling
  • Likely offers customizable sample questions and standard reporting/charting on responses

物足りない点

  • Static question set with no adaptive AI follow-up to probe the specific moment behind a rating
  • No automated per-response quality scoring to flag low-effort or low-quality answers
  • No transparent, inspectable prompt/methodology behind how deeper insights are generated, since it's a fixed-question form

よくあるご質問

「U.S. Government Support Program Experience Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が13問含まれており、最初の設問は次のとおりです：「Thanks for taking a few minutes to share your experience with a government support program. Your responses are completel…」・「Which of the following government support programs have you personally applied for or used in the last 12 months?」・「Thinking about the program you used most recently, how did you primarily apply or interact with it?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、13問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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