Project Reach Survey

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OMB Number 2900-0769
Estimated Burden: 10=20 minutes

RESPONDENT BURDEN: The Paperwork Reduction Act of 1995 = requires=20 us to notify you that this information collection is in accordance with = the=20 clearance requirements of section 3507 of this Act. The information is = needed to=20 generate suggestions about VA=E2=80=99s homeless Veteran program. We = estimate that you=20 will need an average of 10 minutes to complete this form. VA may not = conduct,=20 sponsor or require the respondent to respond to this collection of = information=20 unless it displays a valid OMB Control Number. Valid OMB control numbers = can be=20 located on the OMB Internet Page at = www.whitehouse.gov/omb/library/OMBINV.=20 Responding to this collection of information is voluntary. Send comments = regarding this burden estimate or any other aspects of this collection,=20 including suggestions for reducing this burden to VA Clearance Officer = (005R1B)=20 810 Vermont Avenue, NW, Washington, DC 20420.

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1. Name of the application = you=20 reviewed

Name of the application = you=20 reviewed

2. What is your=20 name (this is optional and will not be shared with the developers)?

What is your name (this = is optional=20 and will not be shared with the = developers)?

*
3. How user friendly would = you rank=20 this app to navigate?

	1 Poor	2	3	4	5 Highest
5 being the highest	*How user friendly would = you rank=20 this app to navigate? 5 being the highest 1 = Poor	5 = being the=20 highest 2	5 = being the=20 highest 3	5 = being the=20 highest 4	5 = being the=20 highest 5 Highest

Please provide any = comments you=20 may have

*
4. Rate the overall design = of this=20 app.

	1 Poor	2	3	4	5 Highest
5 being the highest	*Rate the overall design = of this app.=20 5 being the highest 1 Poor	5 = being the=20 highest 2	5 = being the=20 highest 3	5 = being the=20 highest 4	5 = being the=20 highest 5=20 Highest

*
5. Did you experience any = crashes or=20 other major errors while evaluating this app?

Did you experience any = crashes or=20 other major errors while evaluating this = app?

*
6. Rate the quality of the=20 data/information contained within this app.

	Very Unhelpful	Unhelpful	Neutral	Helpful	Very Helpful
Choose one	*Rate the quality of the=20 data/information contained within this app. Choose one Very=20 Unhelpful	Choose one=20 Unhelpful	Choose one=20 Neutral	Choose one=20 Helpful	Choose one=20 Very = Helpful

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7. Was there enough = data/information=20 provided within this app? If not, what other type(s) of data would you = suggest=20 be included?

Was there enough = data/information=20 provided within this app? If not, what other type(s) of data would you = suggest=20 be included?

*
8. Rate your overall = satisfaction with=20 this app.

	Very Unsatisfied	Unsatisfied	Neutral	Helpful	Very Helpful
Choose one	*Rate your overall = satisfaction with=20 this app. Choose one Very Unsatisfied	Choose one=20 Unsatisfied	Choose one=20 Neutral	Choose one=20 Helpful	Choose one=20 Very = Helpful

9. Please=20 provide any other comments/suggestions you have for improving this = app.

Please provide any other = comments/suggestions you have for improving this=20 app.

*
10. If you could ask the = developers to=20 add or change three items, what would you tell them to do?

If you could ask the = developers to=20 add or change three items, what would you tell them to=20 do?

Project Reach Survey Exit this survey

*1. Name of the application = you=20 reviewed

2. What is your=20 name (this is optional and will not be shared with the developers)?

*3. How user friendly would = you rank=20 this app to navigate?

*4. Rate the overall design = of this=20 app.

*5. Did you experience any = crashes or=20 other major errors while evaluating this app?

*6. Rate the quality of the=20 data/information contained within this app.

*7. Was there enough = data/information=20 provided within this app? If not, what other type(s) of data would you = suggest=20 be included?

*8. Rate your overall = satisfaction with=20 this app.