State, Local County SNAP Agencies

APPENDIX G

ELECTRONIC SURVEY

Survey (screen shots)

1. Cover:

2. Welcome:

3.a. Survey Instructions (top)

3.b. Survey Instructions (bottom)

4. Modernization Initiatives Questions

5. ARRA Funds Questions

6. Table of Contents

7.a. Characteristics and Functionality Questions(top)

7.b. Characteristics and Functionality Questions (bottom)

8.a. Performance Measures (top)

8.b. Performance Measures (bottom)

9. Performance Measures Documentation

10. Performance Measures Goals

11. Detailed Questions for Each Performance Measure – Question 1

12. Detailed Questions for Each Performance Measure – Questions 2, 3, 4

13. Detailed Questions for Each Performance Measure – Questions 5, 6, 7

14. Aggregate Data by Modernization Initiatives

15. Aggregate Data: Documentation

16. Aggregate Data: Goals

17. Aggregate Data: Detailed Questions 1, 2

18. Aggregate Data: Detailed Questions 3, 4

19. Aggregate Data: Detailed Questions 5, 6

20. Aggregate Data: Detailed Questions 7, 8

21. Data Element by Modernization Initiative

22. Data Element Documentation

23. Data Element Detailed Question

24. End of Survey

25. Submit Survey

26. Respondent Information

26. Submission Instructions