364 Survey Final R 364 Survey Final RE and S-RE August, 2010

Customer Satisfaction Measure of Government Websites

2010 364 Survey Final - RE and S-RE, August 2010.xls

362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome and Thank You Text
Model Qsts EE
Model Qsts EN
Model Qsts SP
Custom Qsts EE
Custom Qsts EN
Custom Qsts SP


Sheet 1: Welcome and Thank You Text

Model Instance Name:








SSA Retirement Estimator v3







MID: 0






Date: Fill In Date








Welcome and Thank You Text













Directions:










This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.









Examples


Welcome Text Example






















































Welcome Text





















Thank you for using the Retirement Estimator on the Social Security Administration web site. Please take a minute or two and tell us what we’re doing well and where we need to do better. The feedback you provide will help us improve our site and serve you better in the future.

We keep all of your answers strictly confidential. Your participation in this survey will not affect your eligibility for benefits or any business you have with Social Security.







































































































































































































Thank You Text Example














Thank You Text











Thank you for taking our survey - and for helping us serve you better.

Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our web site, http://www.socialsecurity.gov/pgm/reach.htm



























































































































































































































Sheet 2: Model Qsts EE

Model Instance Name:




SSA Retirement Estimator v3



MID: AshNI5IMsplFJJMYA9c9JA==



Date: 8/16/2010

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Site Performance (If applicable)
(1=Poor, 10=Excellent, Don't Know)

Satisfaction
Apply online for Benefits
(1=Very Unlikely, 10=Very Likely)
1 Please rate how quickly pages load on this online Retirement Estimator. 10 What is your overall satisfaction with the online Retirement Estimator? 13 How likely are you to apply for Social Security Benefits online?
2 Please rate the consistency of speed from page-to-page on this online Retirement Estimator. 11 How well does the online Retirement Estimator meet your expectations?
Apply in field office for Benefits
(1=Very Unlikely, 10=Very Likely)
3 Please rate the ability to load pages without getting errors on this online Retirement Estimator. 12 How does the online Retirement Estimator compare to your idea of an ideal online process? 14 How likely are you to apply for Social Security Benefits in the field office?

Look and Feel
(1=Poor, 10=Excellent, Don't Know)



Recommend
(1=Very Unlikely, 10=Very Likely)
4 Please rate the visual appeal of this online Retirement Estimator.

15 How likely are you to recommend this online Retirement Estimator to someone else?
5 Please rate the layout of the online Retirement Estimator.


Return (if applicable)
(1=Very Unlikely, 10=Very Likely)
6 Please rate the readability of the online Retirement Estimator.

16 How likely are you to return to the Retirement Estimator?

On-Line Application Process
(1=Poor, 10=Excellent, Don't Know)



Use Other SSA Applications
(1=Very Unlikely, 10=Very Likely)
7 Please rate the clarity of the instructions to complete this online Retirement Estimator.

17 How likely are you to use other online applications on the Social Security web site?
8 Please rate the simplicity of completing this online Retirement Estimator.



9 Please rate the number of steps for entering the information into the online Retirement Estimator.






















































































































Sheet 3: Model Qsts EN

Model Instance Name:




SSA Retirement Estimator v3 EN



MID: JU89h10NUtR9V44MIk9ldA==



Date: 8/16/2010

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Site Performance (If applicable)
(1=Poor, 10=Excellent, Don't Know)

Satisfaction
Apply online for Benefits
(1=Very Unlikely, 10=Very Likely)
1 Please rate how quickly pages load on this online Retirement Estimator. 10 What is your overall satisfaction with the online Retirement Estimator? 13 How likely are you to apply for Social Security Benefits online?
2 Please rate the consistency of speed from page-to-page on this online Retirement Estimator. 11 How well does the online Retirement Estimator meet your expectations?
Apply in field office for Benefits
(1=Very Unlikely, 10=Very Likely)
3 Please rate the ability to load pages without getting errors on this online Retirement Estimator. 12 How does the online Retirement Estimator compare to your idea of an ideal online process? 14 How likely are you to apply for Social Security Benefits in the field office?

Look and Feel
(1=Poor, 10=Excellent, Don't Know)


Recommend
(1=Very Unlikely, 10=Very Likely)
4 Please rate the visual appeal of this online Retirement Estimator.

15 How likely are you to recommend this online Retirement Estimator to someone else?
5 Please rate the layout of the online Retirement Estimator.


Return (if applicable)
(1=Very Unlikely, 10=Very Likely)
6 Please rate the readability of the online Retirement Estimator.

16 How likely are you to return to the Retirement Estimator?

On-Line Application Process
(1=Poor, 10=Excellent, Don't Know)



Use Other SSA Applications
(1=Very Unlikely, 10=Very Likely)
7 Please rate the clarity of the instructions to complete this online Retirement Estimator.

17 How likely are you to use other online applications on the Social Security web site?
8 Please rate the simplicity of completing this online Retirement Estimator.



9 Please rate the number of steps for entering the information into the online Retirement Estimator.






















































































































Sheet 4: Model Qsts SP

Model Instance Name:




SSA Retirement Estimator v3 SP



MID: VAdlI9VQFstVQBhNYFkAxw==



Date: 8/16/2010

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Site Performance (If applicable)
(1=Poor, 10=Excellent, Don't Know)

Satisfaction
Apply online for Benefits
(1=Very Unlikely, 10=Very Likely)
1 Favor de calificar la rapidez con la que descargan las páginas en este Calculador de beneficios por jubilación. 10 ¿Cuál es su impresión general de este Calculador de beneficios por jubilación? 13 ¿Cuáles son las posibilidades de que solicite los beneficios de Seguro Social usando la Internet?
2 Favor de calificar la consistencia de la rapidez para moverse de una página a la otra en este Calculador de beneficios por jubilación. 11 ¿Con qué exactitud el Calculador de beneficios por jubilación esatisfizo sus expectaciones?
Apply in field office for Benefits
(1=Very Unlikely, 10=Very Likely)
3 Favor de calificar la capacidad para descargar las páginas sin errores en este Calculador de beneficios por jubilación. 12 ¿Cómo compararía el Calculador de beneficios por jubilación con su idea de un procedimiento perfecto? 14 ¿Cuáles son las posibilidades de que solicite los beneficios de Seguro Social visitando la oficina local del Seguro Social?

Look and Feel
(1=Poor, 10=Excellent, Don't Know)


Recommend
(1=Very Unlikely, 10=Very Likely)
4 Favor de calificar el atractivo visual de este Calculador de beneficios por jubilación.

15 ¿Cuáles son las posibilidades que recomiende este Calculador de beneficios por jubilación a otra persona?
5 Favor de calificar el diseño de este Calculador de beneficios por jubilación.


Return (if applicable)
(1=Very Unlikely, 10=Very Likely)
6 Favor de calificar la legibilidad de Calculador de beneficios por jubilación.

16 ¿Cuáles son las posibilidades de que regrese a este Calculador de beneficios por jubilación?

On-Line Application Process
(1=Poor, 10=Excellent, Don't Know)



Use Other SSA Applications
(1=Very Unlikely, 10=Very Likely)
7 Favor de calificar la claridad de las instrucciones para contestar las preguntas de Calculador de beneficios por jubilación.

17 ¿Cuáles son las posibilidades de que use otras solicitudes en este sitio de Internet del Segruro Social?
8 Favor de calificar la sencillez de las preguntas de este Calculador de beneficios por jubilación.



9 Favor de calificar la cantidad de pasos a seguir para ingresar la información requerida en este Calculador de beneficios por jubilación.






















































































































Sheet 5: Custom Qsts EE

Social Security Administration

red & strike-through: DELETE






SSA Retirement Estimator v3

underlined & italicized: RE-ORDER






MID: AshNI5IMsplFJJMYA9c9JA==

pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















SSA Retirement Estimator v3 CUSTOM QUESTION LIST
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 Label SSA Comments from Sue (8/12/10)
EDO05312
What is your preferred speaking language? English
Radio button, one-up vertical Single Y Skip Logic Group Pref. Language To access the need for non-English versions of the RE and the accessibility of the S-RE to Spanish speakers with different levels of ability to speak English.

Spanish A




Other, please specify B




EDO05313 B What other language do you speak?
Text field, <100 char
N Skip Logic Group Other Lang.
EDO05314 A What other SSA internet service would you like to see in Spanish? (check all that apply) File a Claim
Checkbox, one-up vertical Multi N Skip Logic Group SSA Services This question addresses the overall level of interest in doing business with SSA online and in Spanish in particular.
File an Appeal






Apply for Medicare Subsidy







Business Services Online






EDO05315
How did you first learn about the Retirement Estimator? Search engine
Radio button, one-up vertical Single Y OPS Group Learned about RE This is not a new question

Linked from another website







From an SSA representative







SSA publication







From my Annual Social Security Statement







Newspaper, magazine or other media







My employer or Human Resources department







My financial advisor







Word of mouth







Other, please specify C





EDO05316 C Other learned about

Text field, <100 char
N OPS Group Other learned about
EDO05317
Have you ever sought advice on retirement/financial planning or saving strategies? Yes D Drop down, select one Single Y Skip Logic Group Sought Advice This will provide insight about whether those who use the S-RE are planning ahead about retirement and using other sources. Also we can compare the two subgroups across other characteristics.
No





EDO05318 D From what source have you sought advice on retirement/financial planning or saving strategies. Family/Friend
Radio button, one-up vertical Multi Y Skip Logic Group Advice Source
Financial professional






Internet






Other






EDO05319
Which statement best describes how you completed the Retirement Estimator? I completed it for myself without assistance from anyone else
Radio button, one-up vertical Single Y
Assistance We want to know if users get help and how frequently this occurs, which could be more prevalent among S-RE users. The group of users who are getting help may be computer illiterate or may have language proficiency problems.
I completed it for myself with assistance from a friend or family member






I completed it for myself with assistance from a professional






Other





EDO05320
Did the Retirement Estimator help you decide at what age to claim benefits? Yes Radio button, one-up vertical Single Y
Help Decision This question will provide information on whether RE is affecting users retirement plans, and the ages they plan to retire.
No






EDO05321 At what age do you plan to file for benefits? 62
Drop down, select one Single Y OPS Group Age to File This question will provide information on distribution of the ages users plan to retire. Also it will allow to compare English versus Spanish users, or cross tab with other characteristics. .


63








64








65








66








67








68








69








70








71 or older








Other, please specify E





EDO05322 E Please specify the age at which you intend to file for benefits.

Text field, <100 char
N OPS Group Other Age
EDO05323
When do you expect to file for retirement benefits? Within 12 months
Radio button, one-up vertical Single Y
Expect to File This is not a new question
1 to 3 years


More than 3 but less than 6 years


More than 6 years


Don't Know


EDO05324
How do you plan to file for retirement benefits? I prefer to file my retirement application online
Radio button, one-up vertical Single Y
How to File This is not a new question
By telephone interview






Face-to-face in my local SSA field office






Online with telephone or in-person assistance, if needed






Don't Know






EDO05325
Did you accomplish your primary purpose in using the Retirement Estimator? Yes
Radio button, one-up vertical Single Y
Accomplish Goal This is not a new question
No F





Still Trying F





EDO05326 F If you did not accomplish your primary purpose in using the Retirement Estimator, please tell us why you were not able to do so.

Text area, no char limit Single N
OE_Did not accomplish
EDO05327
Have you ever used the SSA Retirement Planner? Yes
Radio button, one-up vertical Single Y
RE Planner This is not a new question
No


Don't know what that is


EDO05328
What do you plan to do next in regards to getting answers about your estimated retirement? Nothing, the Retirement Estimator provided what I needed
Radio button, one-up vertical Single Y
Do Next This question will provide information about whether people use RE in addition to the toll-free number and visits to the field office, or as a substitute to those services.


Call Social Security's 800 number








Call my local Social Security office








Visit my local Social Security office








Try finding the answers on the Social Security website








Try the Retirement Estimator again








Don't Know






EDO05329
What is your age? Under 18
Drop down, select one Single N
Age This question jointly with question #7 will allow to determine retirement horizon of people of different ages and how much weight to place on reported plans for claiming for retirement benefits across different ages.


18-20








21-30








31-40







41-50







51-55







56







57








58








59









60









61









62









63









64









65









66









67 or older









Prefer not to answer






EDO05330
Where do you live? Alabama
Drop down, select one Single N OPS Group Location



Alaska





Will allow to examine distribution of users across states, as well as to examine how they plan to file by state. This information can also be used for work load estimates and staff planning purposes.



Arizona







Arkansas









California









Colorado









Connecticut









Delaware









District of Columbia









Florida









Georgia









Hawaii









Idaho









Illinois









Indiana









Iowa









Kansas









Kentucky









Louisiana









Maine









Maryland









Massachusetts









Michigan









Minnesota









Mississippi









Missouri









Montana









Nebraska









Nevada









New Hampshire









New Jersey









New Mexico









New York









North Carolina









North Dakota









Ohio









Oklahoma









Oregon









Pennsylvania









Rhode Island









South Carolina









South Dakota









Tennessee









Texas









Utah









Vermont









Virginia









Washington









West Virginia









Wisconsin









Wyoming









American Samoa









Guam









Northern Mariana Islands









Puerto Rico









US Virgin Islands









Bajo Nuevo Bank









Baker Island









Howland Island









Jarvis Island









Johnston Atoll









Kingman Reef









Midway Atoll









Navassa Island









Palmyra Atoll









Serranilla Bank









Wake Island









Other - Please specify G





EDO05331 G Other location

Text field, <100 char
N OPS Group Other Location
EDO05332
What is the highest level of education you have completed? No high school
Drop down, select one Single N OPS Group Education


Some high school





To examine which groups are more/less likely to use the RE, as well as a proxy for their income levels.



High school diploma or equivalent









Some college, but no degree









Associate's degree









Bachelor's degree









Master's degree









Professional degree (MD, JD, etc)









Doctorate degree (PhD)









Prefer not to answer









Other, please specify X





EDO05333 X Other education level

Text field, <100 char
N OPS Group Other Education

Sheet 6: Custom Qsts EN

Social Security Administration

red & strike-through: DELETE






SSA Retirement Estimator v3 EN

underlined & italicized: RE-ORDER






MID: JU89h10NUtR9V44MIk9ldA==

pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















SSA Retirement Estimator v3 EN CUSTOM QUESTION LIST
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 Label SSA Comments from Sue (8/12/10)
ENEDO05312
What is your preferred speaking language? English
Radio button, one-up vertical Single Y Skip Logic Group Pref. Language To access the need for non-English versions of the RE and the accessibility of the S-RE to Spanish speakers with different levels of ability to speak English.

Spanish A




Other, please specify B




ENEDO05313 B What other language do you speak?
Text field, <100 char
N Skip Logic Group Other Lang.
ENEDO05314 A What other SSA internet service would you like to see in Spanish? (check all that apply) File a Claim
Checkbox, one-up vertical Multi N Skip Logic Group SSA Services This question addresses the overall level of interest in doing business with SSA online and in Spanish in particular.
File an Appeal






Apply for Medicare Subsidy







Business Services Online






ENEDO05315
How did you first learn about the Retirement Estimator? Search engine
Radio button, one-up vertical Single Y OPS Group Learned about RE This is not a new question

Linked from another website







From an SSA representative







SSA publication







From my Annual Social Security Statement







Newspaper, magazine or other media







My employer or Human Resources department







My financial advisor







Word of mouth







Other, please specify C





ENEDO05316 C Other learned about

Text field, <100 char
N OPS Group Other learned about
ENEDO05317
Have you ever sought advice on retirement/financial planning or saving strategies? Yes D Drop down, select one Single Y Skip Logic Group Sought Advice This will provide insight about whether those who use the S-RE are planning ahead about retirement and using other sources. Also we can compare the two subgroups across other characteristics.
No





ENEDO05318 D From what source have you sought advice on retirement/financial planning or saving strategies. Family/Friend
Radio button, one-up vertical Multi Y Skip Logic Group Advice Source
Financial professional






Internet






Other






ENEDO05319
Which statement best describes how you completed the Retirement Estimator? I completed it for myself without assistance from anyone else
Radio button, one-up vertical Single Y
Assistance We want to know if users get help and how frequently this occurs, which could be more prevalent among S-RE users. The group of users who are getting help may be computer illiterate or may have language proficiency problems.
I completed it for myself with assistance from a friend or family member






I completed it for myself with assistance from a professional






Other





ENEDO05320
Did the Retirement Estimator help you decide at what age to claim benefits? Yes Radio button, one-up vertical Single Y
Help Decision This question will provide information on whether RE is affecting users retirement plans, and the ages they plan to retire.
No






ENEDO05321 At what age do you plan to file for benefits? 62
Drop down, select one Single Y OPS Group Age to File This question will provide information on distribution of the ages users plan to retire. Also it will allow to compare English versus Spanish users, or cross tab with other characteristics. .


63








64








65








66








67








68








69








70








71 or older








Other, please specify E





ENEDO05322 E Please specify the age at which you intend to file for benefits.

Text field, <100 char
N OPS Group Other Age
ENEDO05323
When do you expect to file for retirement benefits? Within 12 months
Radio button, one-up vertical Single Y
Expect to File This is not a new question
1 to 3 years


More than 3 but less than 6 years


More than 6 years


Don't Know


ENEDO05324
How do you plan to file for retirement benefits? I prefer to file my retirement application online
Radio button, one-up vertical Single Y
How to File This is not a new question
By telephone interview






Face-to-face in my local SSA field office






Online with telephone or in-person assistance, if needed






Don't Know






ENEDO05325
Did you accomplish your primary purpose in using the Retirement Estimator? Yes
Radio button, one-up vertical Single Y
Accomplish Goal This is not a new question
No F





Still Trying F





ENEDO05326 F If you did not accomplish your primary purpose in using the Retirement Estimator, please tell us why you were not able to do so.

Text area, no char limit Single N
OE_Did not accomplish
ENEDO05327
Have you ever used the SSA Retirement Planner? Yes
Radio button, one-up vertical Single Y
RE Planner This is not a new question
No


Don't know what that is


ENEDO05328
What do you plan to do next in regards to getting answers about your estimated retirement? Nothing, the Retirement Estimator provided what I needed
Radio button, one-up vertical Single Y
Do Next This question will provide information about whether people use RE in addition to the toll-free number and visits to the field office, or as a substitute to those services.


Call Social Security's 800 number








Call my local Social Security office








Visit my local Social Security office








Try finding the answers on the Social Security website








Try the Retirement Estimator again








Don't Know






ENEDO05329
What is your age? Under 18
Drop down, select one Single N
Age This question jointly with question #7 will allow to determine retirement horizon of people of different ages and how much weight to place on reported plans for claiming for retirement benefits across different ages.


18-20








21-30








31-40







41-50







51-55







56







57








58








59









60









61









62









63









64









65









66









67 or older









Prefer not to answer






ENEDO05330
Where do you live? Alabama
Drop down, select one Single N OPS Group Location



Alaska





Will allow to examine distribution of users across states, as well as to examine how they plan to file by state. This information can also be used for work load estimates and staff planning purposes.



Arizona







Arkansas









California









Colorado









Connecticut









Delaware









District of Columbia









Florida









Georgia









Hawaii









Idaho









Illinois









Indiana









Iowa









Kansas









Kentucky









Louisiana









Maine









Maryland









Massachusetts









Michigan









Minnesota









Mississippi









Missouri









Montana









Nebraska









Nevada









New Hampshire









New Jersey









New Mexico









New York









North Carolina









North Dakota









Ohio









Oklahoma









Oregon









Pennsylvania









Rhode Island









South Carolina









South Dakota









Tennessee









Texas









Utah









Vermont









Virginia









Washington









West Virginia









Wisconsin









Wyoming









American Samoa









Guam









Northern Mariana Islands









Puerto Rico









US Virgin Islands









Bajo Nuevo Bank









Baker Island









Howland Island









Jarvis Island









Johnston Atoll









Kingman Reef









Midway Atoll









Navassa Island









Palmyra Atoll









Serranilla Bank









Wake Island









Other - Please specify G





ENEDO05331 G Other location

Text field, <100 char
N OPS Group Other Location
ENEDO05332
What is the highest level of education you have completed? No high school
Drop down, select one Single N OPS Group Education


Some high school





To examine which groups are more/less likely to use the RE, as well as a proxy for their income levels.



High school diploma or equivalent









Some college, but no degree









Associate's degree









Bachelor's degree









Master's degree









Professional degree (MD, JD, etc)









Doctorate degree (PhD)









Prefer not to answer









Other, please specify X





ENEDO05333 X Other education level

Text field, <100 char
N OPS Group Other Education

Sheet 7: Custom Qsts SP

Social Security Administration

red & strike-through: DELETE






SSA Retirement Estimator v3 SP

underlined & italicized: RE-ORDER






MID: VAdlI9VQFstVQBhNYFkAxw==

pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















SSA Retirement Estimator v3 SP CUSTOM QUESTION LIST
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 Label SSA Comments from Sue (8/12/10)
SPEDO05312
¿Cuál es su preferencia de idioma al hablar? Inglés
Radio button, one-up vertical Single Y Skip Logic Group Pref. Language To access the need for non-English versions of the RE and the accessibility of the S-RE to Spanish speakers with different levels of ability to speak English.

Español A





Otro (especifique) B




SPEDO05313 B ¿Qué otros idiomas habla?
Text field, <100 char
N Skip Logic Group Other Lang.
SPEDO05314 A ¿Qué otros servicios que presta el Seguro Social por Internet le gustaría ver? (marque todos los que apliquen) Llenar una reclamación
Checkbox, one-up vertical Multi N Skip Logic Group SSA Services This question addresses the overall level of interest in doing business with SSA online and in Spanish in particular.
Llenar una apelación






Solicite para un subsidio de Medicare







Servicios por Internet para empresas






SPEDO05315
¿Cómo se enteró del Calculador de beneficios por jubilación? Por un motor de búsqueda
Radio button, one-up vertical Single Y OPS Group Learned about RE This is not a new question

Un enlace de otra página de Internet.







De un agente del Seguro Social.







De una publicación del Seguro Social.







De mi Declaración del Seguro Social anual.







Por un periódico, revista u otro medio informático







Fue sugerido por mi empleador o por el Departamento de Recursos Humanos







Fue sugerido por mi asesor financiero







Alguien me lo comentó







Otro (especifique) C





SPEDO05316 C Otra manera de enterarse

Text field, <100 char
N OPS Group Other learned about
SPEDO05317
¿Alguna vez a solicitado asesoramiento con referencia a jubilación/planificación financiera o estrategias de ahorros? D Drop down, select one Single Y Skip Logic Group Sought Advice This will provide insight about whether those who use the S-RE are planning ahead about retirement and using other sources. Also we can compare the two subgroups across other characteristics.

No





SPEDO05318 D ¿Qué fuente de información a utilizado para solicitar asesoramiento con referencia a jubilación/planificación o estrategias de ahorros? Pariente/Amigo
Radio button, one-up vertical Multi Y Skip Logic Group Advice Source

Experto en asuntos financieros







Internet







Otro






SPEDO05319
¿Qué oración tiene la mejor descripción de cómo contestó las preguntas del Calculador de beneficios por jubilación? Las contesté sin que nadie me ayudara
Radio button, one-up vertical Single Y
Assistance We want to know if users get help and how frequently this occurs, which could be more prevalent among S-RE users. The group of users who are getting help may be computer illiterate or may have language proficiency problems.
Las contesté con la ayuda de un amigo o pariente






Las contesté con la ayuda de un experto profesional






Otro





SPEDO05320
¿Le ayudó el Calculador de beneficios por jubilación a decidir a qué edad solicitar los beneficios por jubilación? Radio button, one-up vertical Single Y
Help Decision This question will provide information on whether RE is affecting users retirement plans, and the ages they plan to retire.

No






SPEDO05321 ¿A que edad planifica solicitar los beneficios por jubilación? 62
Drop down, select one Single Y OPS Group Age to File This question will provide information on distribution of the ages users plan to retire. Also it will allow to compare English versus Spanish users, or cross tab with other characteristics. .



63








64








65








66








67








68








69








70








después de los 71








Otro (especifique) E





SPEDO05322 E Favor de indicar la edad a la que espera solicitar los beneficios por jubilación.

Text field, <100 char
N OPS Group Other Age
SPEDO05323
¿Cuándo espera solicitar beneficios por jubilación? Dentro de 12 meses
Radio button, one-up vertical Single Y
Expect to File This is not a new question

Dentro de 1 a 3 años



Más de 3 años pero menos de 6 años



Más de 6 años



No sé


SPEDO05324
¿Cómo piensa solicitar sus beneficios por jubilación? Prefiero presentar mi solicitud por Internet.
Radio button, one-up vertical Single Y
How to File This is not a new question

Por entrevista telefónica







Personalmente en la oficina local del Seguro Social.







Por Internet con la ayuda de alguien por teléfono o en persona, si fuese necesario.







No sé






SPEDO05325
¿Logró lo que quería al usar el Calculador de beneficios por jubilación? Si
Radio button, one-up vertical Single Y
Accomplish Goal This is not a new question

No F






Aun lo estoy intentando F





SPEDO05326 F Si al usar el Calculador de beneficios por jubilación no logró cumplir su propósito primordial, por favor háganos saber por qué no pudo hacerlo.

Text area, no char limit Single N
OE_Did not accomplish
SPEDO05327
¿Alguna ha usado el Planificador de jubilación del Seguro Social? Si
Radio button, one-up vertical Single Y
RE Planner This is not a new question

No



No sé lo que es eso


SPEDO05328
¿Cuál es el próximo paso que planifica tomar con referencia a sus preguntas sobre la estimación de sus beneficios por jubilación que acaba de recibir? Nada, el Calculador de beneficios por jubilación suministró todo lo que necesitaba
Radio button, one-up vertical Single Y
Do Next This question will provide information about whether people use RE in addition to the toll-free number and visits to the field office, or as a substitute to those services.



Llamar al número 800 del Seguro Social









Llamar mi oficina local del Seguro Social









Visitar mi oficina local del Seguro Social









Intentar encontrar las respuestas en el sition de Internet del Seguro Social









Intentar usar el Calculador de beneficios por jubilación de nuevo









No sé






SPEDO05329
¿Qué edad tiene? Menor de 18 años de edad
Drop down, select one Single N
Age This question jointly with question #7 will allow to determine retirement horizon of people of different ages and how much weight to place on reported plans for claiming for retirement benefits across different ages.



18-20









21-30









31-40








41-50








51-55








56








57








58








59









60









61









62









63









64









65









66









mayor de 67 años de edad









Me reservo el derecho de contestar






SPEDO05330
¿Dónde vive? Alabama
Drop down, select one Single N OPS Group Location



Alaska





Will allow to examine distribution of users across states, as well as to examine how they plan to file by state. This information can also be used for work load estimates and staff planning purposes.



Arizona








Arkansas









California









Colorado









Connecticut









Delaware









Distrito de Columbia









Florida









Georgia









Hawaí









Idaho









Illinois









Indiana









Iowa









Kansas









Kentucky









Louisiana









Maine









Maryland









Massachusetts









Michigan









Minnesota









Misisipi









Misuri









Montana









Nebraska









Nevada









Nueva Hampshire









Nueva Jersey









Nuevo Mexico









Nueva York









Carolina del Norte









Dakota del Norte









Ohio









Oklahoma









Oregon









Pensilvania









Rhode Island









Carolina del Sur









Dakota del Sur









Tennessee









Texas









Utah









Vermont









Virginia









Washington









Virginia Occidental









Wisconsin









Wyoming









Samoa Americana









Guam









Islas Marianas del Norte









Puerto Rico









Islas Virgenes de los EE.UU.









Bajo Nuevo Bank









Isla Baker









Isla Howland









Isla Jarvis









Johnston Atoll









Arecife de Kingman









Midway Atoll









Navassa Island









Palmyra Atoll









Seranilla Bank









Isla Wake









Otro (especifique) G





SPEDO05331 G Otro lugar

Text field, <100 char
N OPS Group Other Location
SPEDO05332
¿Cuál es el grado de educación más alto que ha obtenido? No se graduó de la escuela secundaria
Drop down, select one Single N OPS Group Education


Asistió por un tiempo a la escuela secundaria





To examine which groups are more/less likely to use the RE, as well as a proxy for their income levels.



Graduado de la escuela secundaría o su equivalente









Estudió en la universidad pero no se graduó









Grado Asociado









Graduado de 4 años de universidad









Graduado con una maestría









Graduado con un título profesional (MD, JD, etc)









Doctorado en philosofía (PhD)









Me reservo el derecho a contestar la pregunta









Otro (especifique) X





SPEDO05333 X Otro grado de educación

Text field, <100 char
N OPS Group Other Education
File Typeapplication/vnd.ms-excel
File TitleQuestionnaire Production Guidelines_Template
AuthorProfessional Services
Last Modified Byedwin.oslan
File Modified2010-08-27
File Created2001-08-03

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