372 PBGC My PAA v3 372 PBGC My PAA v3 Questionnaire 10-4-2010

Model Instance Name:			red & strike-through: DELETE
#REF!			underlined & italicized: RE-ORDER
#REF!			pink: ADDITION
Date:	10/4/2010		blue + -->: REWORDING
#REF!
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Labels
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06961		Did you set up a My PAA account in the past three months?	Yes	A, B, C	Drop down, select one	Single	Y	Skip Logic Group	Account Setup
			No
			Not sure
EDO06962	A	Please rate the number of steps required to set up an account on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Steps
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06963	B	Please rate the verification of account set-up on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Verify
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06964	C	Please rate the ease of choosing/modifying your password on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Password
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06965		Which <strong>best describes you</strong>?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third Party Administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor	B
			Representative of plan administrator or sponsor	B
			Other (please specify)	B
EDO06966	B	Which of the following best describes you?	Employee benefits professional		Radio button, one-up vertical	Single	Y	Skip Logic Group	Description
			Small-business (<100 plan participants) owner or worker
			Small-business (<100 plan participants) mgr/admin
			Other	A
EDO06967	A	Other - best describes you			Text field, <100 char	Single	Y	Skip Logic Group	OE_Best Describes
EDO06968		What was your <strong>purpose</strong> in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	OPS Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
EDO06969	B	Other - best describes your purpose is visiting PBGC's website today			Text field, <100 char	Single	Y	OPS Group	OE_Purpose
EDO06970		Did you <strong>accomplish your goal using My PAA</strong>?	Yes		Drop down, select one	Single	Y	Skip Logic Group	Accomplish Goal
			No	F
			In part	G
EDO06971	F	Why were you unable to accomplish your goal?			Text area, no char limit	Single	Y	Skip Logic Group	OE_Unable to Accomplish
EDO06972	G	Why were you able to complete your goal only in part?			Text area, no char limit	Single	Y	Skip Logic Group	OE_Complete in Part
EDO06973		Did you experience any <strong>problems</strong> with My PAA?	No		Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			Yes	C
EDO06974	C	What problems did you experience? (Select all that apply.)	Had technical difficulties or system outage/slowness		Checkbox, one-up vertical	Single	Y	Skip Logic Group	Problems
			Was unexpectedly timed out or logged off
			Had password, ID, secret question/answer issues
			Was not clear how to create/edit filing
			Was not clear how to sign/authorize payment
			Was not clear how to submit filing
			Other (please specify)	H
EDO06975	H	Description of problems with website			Text field, <100 char	Single	Y	Skip Logic Group	OE_Problems
EDO06976		<strong>What other changes, information, or online services</strong> would you like to see in My PAA?	None		Radio button, one-up vertical	Single	Y	OPS Group	Changes
			Please consider	D
EDO07042	D	Description of other information or online services			Text field, <100 char	Single	Y	OPS Group	OE_Changes
EDO06977		<strong>What kind of help</strong> would you like to see available when using My PAA?	Nothing		Radio button, one-up vertical	Single	Y	OPS Group	Help
			Please consider	E
EDO06978	E	Description of help you would like to see available			Text field, <100 char	Single	Y	OPS Group	OE_Help