| Model Instance Name: | |||||||||||||||
| SSA FAQ v2 | underlined & italicized: RE-ORDER | ||||||||||||||
| MID: IFxoFIs5REN1losJFoNtJQ== | pink: ADDITION | ||||||||||||||
| Date: | 12/27/2011 | blue + -->: REWORDING | |||||||||||||
| violet (bold): SKIP-LOGIC | |||||||||||||||
| SSA FAQ v2 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 | ||||||
| SAC6575 | Are you currently receiving Social Security Benefits? | SAC6575A001 | Yes | Dropdown (Select-one) | Single | Y | Receiving SS Benefits | Types | |||||||
| SAC6575A002 | No | Open-ended | |||||||||||||
| SAC6575A003 | Not Sure | Text Field – limited to 100 characters | |||||||||||||
| SAC6576 | Which of the following topics were you were looking for within the FAQs? (check all that apply) | SAC6576A001 | Social Security Benefit Statement (Form SSA-1099) | Checkbox One Up Vertical | Multi | Y | Skip Logic | Topic | Radio Button Two Up Vertical | ||||||
| SAC6576A002 | Annual Social Security Statement | Radio Button Three Up Vertical | |||||||||||||
| SAC6576A003 | Social Security Card or Number | A | Radio Button Scale Has Don’t Know | ||||||||||||
| SAC6576A004 | Retirement Benefits | B | Radio Button Scale No Don’t Know | ||||||||||||
| SAC6576A005 | Social Security Disability Benefits | C | Checkbox One Up Vertical | ||||||||||||
| SAC6576A006 | Supplemental Security Income (SSI) Payments | D | Checkbox Two Up Vertical | ||||||||||||
| SAC6576A007 | Survivor Benefits | E | Checkbox Three Up Vertical | ||||||||||||
| SAC6576A008 | Medicare Benefits | F | Select-multiple Show Two | ||||||||||||
| SAC6576A009 | Address change | Select-multiple Show Three | |||||||||||||
| SAC6576A010 | Direct deposit of monthly check | Select-multiple Show Four | |||||||||||||
| SAC6576A011 | Paying taxes on Social Security benefits | ||||||||||||||
| SAC6576A012 | Other, please specify | Z | |||||||||||||
| SAC6577 | A | What Social Security card or number information were you seeking today? | SAC6577A001 | Replacing a lost or stolen Social Security card | Radio Button One Up Vertical | Single | Y | Skip Logic | SSCard/# | Radio Button Two Up Vertical | |||||
| SAC6577A002 | Changing a name on a Social Security card | Radio Button Three Up Vertical | |||||||||||||
| SAC6577A003 | Requesting a Social Security card for a minor child | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6577A004 | Learning what documents are needed | Radio Button Scale No Don’t Know | |||||||||||||
| SAC6577A005 | Other, please specify | AA | Checkbox One Up Vertical | ||||||||||||
| SAC6578 | AA | Please tell us what other Social Security card or number information you wanted. | Text Area – no character limit | N | Skip Logic | OE_SSCard/# | |||||||||
| SAC6579 | B | What best describes the subject of your Retirement Benefits question? | SAC6579A001 | Applying for Retirement benefits – how and when | Radio Button One Up Vertical | Single | Y | Skip Logic | Retirement | Radio Button Two Up Vertical | |||||
| SAC6579A002 | Estimating Retirement benefits | Radio Button Three Up Vertical | |||||||||||||
| SAC6579A003 | Working while receiving Retirement benefits | ||||||||||||||
| SAC6579A004 | Learning what documents are needed to file for Retirement benefits | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6579A005 | Learning about benefits for a spouse and/or child(ren) | Radio Button Scale No Don’t Know | |||||||||||||
| SAC6579A006 | Other, please specify | BB | Checkbox One Up Vertical | ||||||||||||
| SAC6580 | BB | Please tell us about your Retirement Benefits question. | Text Area – no character limit | N | Skip Logic | OE_Retirement | |||||||||
| SAC6581 | C | What best describes the subject of your Social Security Disability benefits question? | SAC6581A001 | Applying for Disability benefits – how and when | Radio Button One Up Vertical | Single | Y | Skip Logic | Disability | Radio Button Two Up Vertical | |||||
| SAC6581A002 | Learning about benefits for spouse and/or child(ren) | Radio Button Three Up Vertical | |||||||||||||
| SAC6581A003 | Appealing an adverse Disability decision – how and when | ||||||||||||||
| SAC6581A004 | Working while disabled | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6581A005 | Other, please specify | CC | Checkbox One Up Vertical | ||||||||||||
| SAC6582 | CC | Please tell us about your Social Security Disability question. | Text Area – no character limit | N | Skip Logic | OE_Disability | |||||||||
| SAC6583 | D | What Supplemental Security Income (SSI) information were you seeking? | SAC6583A001 | Applying for SSI payments – how and when | Radio Button One Up Vertical | Single | Y | Skip Logic | SSI | Radio Button Two Up Vertical | |||||
| SAC6583A002 | Learning the difference between SSI and Social Security benefit payments | Radio Button Three Up Vertical | |||||||||||||
| SAC6583A003 | Learning what affects SSI payments (e.g., work, property, savings, inheritance, etc.) | ||||||||||||||
| SAC6583A004 | Learning if a spouse and/or child(ren) can receive payments from my SSI record | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6583A005 | Other, please specify | DD | Checkbox One Up Vertical | ||||||||||||
| SAC6584 | DD | Please tell us about your Supplemental Security Income (SSI) question. | Text Area – no character limit | N | Skip Logic | OE_SSI | |||||||||
| SAC6585 | E | What Survivor Benefits information were you seeking? | SAC6585A001 | Applying for Survivor Benefits - how and when | Radio Button One Up Vertical | Single | Y | Skip Logic | Survivor Benefits | Radio Button Two Up Vertical | |||||
| SAC6585A002 | Receiving Survivor Benefits AND my own retirement benefit | Radio Button Three Up Vertical | |||||||||||||
| SAC6585A003 | Receiving Survivor Benefits on a divorced spouse’s record | ||||||||||||||
| SAC6585A004 | Obtaining necessary documents needed to file for survivor benefits | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6585A005 | Learning how remarriage affects my survivor benefits | Radio Button Scale No Don’t Know | |||||||||||||
| SAC6585A006 | Other, please specify | EE | Checkbox One Up Vertical | ||||||||||||
| SAC6586 | EE | Please tell us about your Survivor Benefits question. | Text Area – no character limit | N | Skip Logic | OE_Survivor | |||||||||
| SAC6587 | F | What best describes the subject of your Medicare question? | SAC6587A001 | How to apply for Medicare benefits – how and when? | Radio Button One Up Vertical | Single | Y | Skip Logic | Medicare | Radio Button Two Up Vertical | |||||
| SAC6587A002 | What documents are needed to file for Medicare | Radio Button Three Up Vertical | |||||||||||||
| SAC6587A003 | Who is eligible for Medicare | ||||||||||||||
| SAC6587A004 | What is covered under the Medicare program | ||||||||||||||
| SAC6587A005 | What are the Medicare premiums | Radio Button Scale Has Don’t Know | |||||||||||||
| SAC6587A006 | What is the Medicare Prescription Drug Plan | Radio Button Scale No Don’t Know | |||||||||||||
| SAC6587A007 | Other, please specify | FF | Checkbox One Up Vertical | ||||||||||||
| SAC6588 | FF | Please tell us about your Medicare question. | Text Area – no character limit | N | Skip Logic | OE_Medicare | |||||||||
| SAC6589 | Z | Please tell us what other information you were seeking. | Text Area – no character limit | N | Skip Logic | OE_Topic | |||||||||
| SAC6590 | Did we answer your question(s)? | SAC6590A001 | Yes, my question (s) was answered completely | A | Dropdown (Select-one) | Single | Y | Skip Logic | Answer Questions | ||||||
| SAC6590A002 | Yes, my question (s) was answered partially | A, B | |||||||||||||
| SAC6590A003 | No, my question (s) was not answered at all | B | |||||||||||||
| SAC6591 | A | Did the answer(s) you received using our FAQs help you accomplish your task with Social Security? | SAC6591A001 | Yes | Dropdown (Select-one) | Single | Y | Skip Logic | Help Accomplish | ||||||
| SAC6591A002 | No | ||||||||||||||
| SAC6591A003 | Partially | ||||||||||||||
| SAC6592 | B | What was your question? Please explain: | Text Area – no character limit | N | Skip Logic | OE_No Answer | |||||||||
| SAC6593 | Please tell us if you had any of the following concerns or problems while using the FAQs? (check all that apply) | SAC6593A001 | Could not figure out the best way to find the answers I needed | Checkbox One Up Vertical | Multi | N | Skip Logic | Problems | Radio Button Two Up Vertical | ||||||
| SAC6593A002 | Too many answers to choose from | Radio Button Three Up Vertical | |||||||||||||
| SAC6593A003 | Answer link(s) did not take me where I expected | ||||||||||||||
| SAC6593A004 | Found the answer link(s) difficult to understand | ||||||||||||||
| SAC6593A005 | Answers were too long | ||||||||||||||
| SAC6593A006 | Had difficulty understanding the information in the answer | ||||||||||||||
| SAC6593A007 | Experienced technical difficulties (e.g. broken links, error messages) | ||||||||||||||
| SAC6593A008 | Took me too long to search through the FAQs | ||||||||||||||
| SAC6593A009 | Other, please specify | A | |||||||||||||
| SAC6593A010 | Experienced no problems | exclusive | Checkbox One Up Vertical | ||||||||||||
| SAC6594 | A | Please tell us about your concerns or problems using the FAQs. | Text Area – no character limit | N | Skip Logic | OE_Problems | |||||||||
| SAC6595 | Which FAQ feature(s) did you use today? (check all that apply) | SAC6595A001 | Most Popular Answer links | Checkbox One Up Vertical | Multi | Y | Skip Logic | FAQ Feature | Radio Button Two Up Vertical | ||||||
| SAC6595A002 | Most Popular Topic links | Radio Button Three Up Vertical | |||||||||||||
| SAC6595A003 | Browse All Topic links | ||||||||||||||
| SAC6595A004 | FAQ Search Box | A | |||||||||||||
| SAC6595A005 | Not sure | ||||||||||||||
| SAC6595A006 | None of the above | exclusive | |||||||||||||
| SAC6596 | A | Which of the following, if any, did you experience while using the FAQ Search tool today? (check all that apply) | SAC6596A001 | Results were not relevant to my search terms or needs | Checkbox One Up Vertical | Multi | Y | Skip Logic | Search | Radio Button Two Up Vertical | |||||
| SAC6596A002 | I was not sure what words to use in my search | Radio Button Three Up Vertical | |||||||||||||
| SAC6596A003 | Search required too many refinements to get to what I wanted | ||||||||||||||
| SAC6596A004 | Returned too many results | ||||||||||||||
| SAC6596A005 | Returned not enough results | ||||||||||||||
| SAC6596A006 | Returned no results | ||||||||||||||
| SAC6596A007 | Returned results were too similar or redundant | ||||||||||||||
| SAC6596A008 | Other, please specify | B | |||||||||||||
| SAC6596A009 | Experienced no problems | exclusive | |||||||||||||
| SAC6597 | B | Please tell us about your FAQ search experience. | Text Area – no character limit | N | Skip Logic | OE_Search | |||||||||
| SAC6598 | What will your next step(s) be relative to the information you were seeking? (choose the one that most applies) | SAC6598A001 | I got the information I was seeking and have no plans to follow up with SSA | Radio Button One Up Vertical | Single | Y | Next Steps | Radio Button Two Up Vertical | |||||||
| SAC6598A002 | I will conduct my SSA business online (if available) | Radio Button Three Up Vertical | |||||||||||||
| SAC6598A003 | I will visit my local SSA office | ||||||||||||||
| SAC6598A004 | I will call my local SSA office | ||||||||||||||
| SAC6598A005 | I will call the SSA Toll Free 800 Number | ||||||||||||||
| SAC6598A006 | I will email SSA | ||||||||||||||
| SAC6598A007 | I did not get the information I was seeking but have no plans to follow up with SSA | ||||||||||||||
| SAC6598A008 | Not sure what my next steps will be | ||||||||||||||
| SAC6599 | How frequently do you visit SSA’s FAQ section? | SAC6599A001 | First time | Radio Button One Up Vertical | Single | Y | Visit Frequency | Radio Button Two Up Vertical | |||||||
| SAC6599A002 | At least once a week | Radio Button Three Up Vertical | |||||||||||||
| SAC6599A003 | At least once a month | ||||||||||||||
| SAC6599A004 | At least once every six months | ||||||||||||||
| SAC6599A005 | At least once a year | ||||||||||||||
| SAC6599A006 | Not sure | ||||||||||||||
| SAC6600 | What is your age group? | SAC6600A001 | Under 18 | Dropdown (Select-one) | Single | Age | |||||||||
| SAC6600A002 | 18-24 | N | |||||||||||||
| SAC6600A003 | 25-44 | ||||||||||||||
| SAC6600A004 | 45-54 | ||||||||||||||
| SAC6600A005 | 55-64 | ||||||||||||||
| SAC6600A006 | 65+ | ||||||||||||||
| SAC6601 | Do you have any suggestions for improving the FAQ section? | Text Area – no character limit | N | Improve | |||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |