525 CQs for OMB started 4-4-2012

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

2012 525 CQs for OMB started 4-4-2012.xlsx

516 CQs for OMB - 532 VBA Survey

OMB: 1090-0008

Document [xlsx]
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Measures Name/Client name (CQs and Answer choices)









NHSTA









ACQCol0010154
How do you want to use the information you were looking for today?  ACQCol0010154A01 To decide what vehicle or car seat to buy
Radio button, one-up vertical Single Y Skip Logic Group Use information



ACQCol0010154A02 To find out about the safety of a vehicle or car seat I already own









To research for work









To research for school








ACQCol0010154A03 Other (please specify) A




CWS04091
What best describes your role during your site visit today?
State or local government employee
Drop down, select one Single Y Skip Logic Group




Parent









Child care provider/Caregiver









Consumer









Traffic Safety Advocate









Manufacturer









Industry group member









Researcher









Other (please specify) A




CWS04092 A Other best describes


Text area, no char limit
N Skip Logic Group
DOD Triwest









CJI0667
Please tell us if you are a beneficiary, provider, or government representative or another type of visitor to our Web site. CJI0667A001 Beneficiary







CJI0667A002 Provider/Provider staff







CJI0667A003 Government representative







CJI0667A004 Other





CJI0668 A Please use the dropdown menu below and select the category that best describes your military status. CJI0668A001 Active Duty







CJI0668A002 Retiree







CJI0668A003 Reserve or Guard







CJI0668A004 Active Duty family member







CJI0668A005 Retiree family member







CJI0668A006 Reserve or Guard family member







CJI0668A007 Other/Not Listed





CJI0669 B What was the primary reason for this visit to TriWest.com? CJI0669A001 Provider Directory








CJI0669A002 TRICARE Prime Information








CJI0669A003 TRICARE Standard or Extra Information








CJI0669A004 Reserve Component Information








CJI0669A005 Reviewing Claims








CJI0669A006 Enrollment








CJI0669A007 Online Payment








CJI0669A008 Other/Not Listed





CJI0670 C Please specify the reason for this visit.







CJI0671 D What was the primary reason for this visit to TriWest.com? CJI0671A001 Referrals and Authorizations (Public Access)







CJI0671A002 Claims & Reimbursement (Public Access)







CJI0671A003 TRICARE Policy Updates (Public Access)







CJI0671A004 Resource Library







CJI0671A005 Check referral authorization status (Registered Providers)







CJI0671A006 Submit claims & check claim status online (Registered Providers)







CJI0671A007 Check patient eligibility (Registered Providers)







CJI0671A008 Consult tracking reports (Registered Providers)







CJI0671A009 Other/Not Listed





CJI0672 E Please specify the reason for this visit.







CJI0673 F What was the primary reason for this visit to TriWest.com? CJI0673A001 MMSO Authorizations & Referrals Work Queue







CJI0673A002 MMSO Claims Work Queue







CJI0673A003 MTF SHCP Claims Work Queue







CJI0673A004 HBA/BCAS Claims Data







CJI0673A005 West Region BSC







CJI0673A006 West Region Government Reports







CJI0673A007 JSOPP Reports







CJI0673A008 West Region Balanced Scorecard (BSC)







CJI0673A009 TriWest OLAP/BI Reports







CJI0673A010 Other/Not Listed





CJI0674 G Please specify the reason for this visit.







CJI0675
How easy was it to find the information you needed on TriWest.com? CJI0675A001 0=Could Not Find Answer







CJI0675A002 1=Very Difficult







CJI0675A003 2







CJI0675A004 3







CJI0675A005 4







CJI0675A006 5







CJI0675A007 6







CJI0675A008 7=Very Easy







CJI0675A009 Don't Know





CJI0676 A What information were you looking for that you couldn’t find?







CJI0677
How satisfied are you overall with this Web site? CJI0677A001 1=Completely Dissatisfied







CJI0677A002 2







CJI0677A003 3







CJI0677A004 4







CJI0677A005 5







CJI0677A006 6







CJI0677A007 7=Completely Satisfied







CJI0677A008 Don't Know





CJI0678
How satisfied are you, overall, with the services and support that you receive from TriWest Healthcare Alliance? CJI0678A001 1=Completely Dissatisfied







CJI0678A002 2







CJI0678A003 3







CJI0678A004 4







CJI0678A005 5







CJI0678A006 6







CJI0678A007 7=Completely Satisfied







CJI0678A008 Don't Know





CJI0679
Attention! Please do not include any personal or clinical information in the space provided below:
Please tell us how we can make TriWest.com better and easier to use.








NHTSA









ACQCol0010157
How did you learn about this site?  ACQCol0010157A02 Search engine results








ACQCol0010157A03 Link from another Web site








ACQCol0010157A04 Already knew about NHTSA








ACQCol0010157A05 Radio or television advertisement








ACQCol0010157A06 Recommendation from friends or family








ACQCol0010157A01 Other (please specify)





ACQCol0010158 A Other way learned









Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important).
Rank 1 (Required)
1 Message or recommendation from a friend on a social network








2 Video I saw on YouTube








3 Internet blogs or discussion forums








4 Advertising on social networks (Facebook, MySpace, Twitter)








5 Message directly from the company on a social network








6 Mobile phone text messages or alerts








7 Instant Message from a friend or colleague








8 Already knew about NHTSA








9 Promotional email(s) from NHTSA








10 Search engine results








11 Word of mouth recommendation from someone I know








12 Radio or television advertisement








13 Internet advertising








14 Don't know








15 Other







Rank 2 (Optional) 1 Message or recommendation from a friend on a social network








2 Video I saw on YouTube








3 Internet blogs or discussion forums








4 Advertising on social networks (Facebook, MySpace, Twitter)








5 Message directly from the company on a social network








6 Mobile phone text messages or alerts








7 Instant Message from a friend or colleague








8 Already knew about NHTSA








9 Promotional email(s) from NHTSA








10 Search engine results








11 Word of mouth recommendation from someone I know








12 Radio or television advertisement








13 Internet advertising








14 Don't know








15 Other







Rank 3 (Optional) 1 Message or recommendation from a friend on a social network








2 Video I saw on YouTube








3 Internet blogs or discussion forums








4 Advertising on social networks (Facebook, MySpace, Twitter)








5 Message directly from the company on a social network








6 Mobile phone text messages or alerts








7 Instant Message from a friend or colleague








8 Already knew about NHTSA








9 Promotional email(s) from NHTSA








10 Search engine results








11 Word of mouth recommendation from someone I know








12 Radio or television advertisement








13 Internet advertising








14 Don't know








15 Other





FDIC Social Media









MMW2316
Please indicate which FDIC social media platforms you visit/interact with. (Please check all that apply) MMW2316A01 Facebook








MMW2316A02 YouTube








MMW2316A03 Twitter








MMW2316A04 None of the above





MMW2317
Which FDIC social media source did you visit to complete this survey? MMW2317A01 Facebook








MMW2317A02 YouTube








MMW2317A03 Twitter








MMW2317A04 None of the above





MMW2318 A What best describes how often you visit Facebook? MMW2318A01 3 times or more per day








MMW2318A02 Once or twice a day








MMW2318A03 A few times per week








MMW2318A04 Once a week








MMW2318A05 A few times per month








MMW2318A06 Monthly or less often








MMW2318A07 This was my first time





MMW2319 B How do you view the Facebook posts from FDIC? MMW2319A01 Visit the FDIC Facebook page








MMW2319A02 See the updated posts within my Facebook news feed








MMW2319A03 Not sure





MMW2320 C Approximately how many organizations/businesses/groups are you a fan of on Facebook? MMW2320A01 Less than 5








MMW2320A02 5 - 10








MMW2320A03 More than 10








MMW2320A04 Not sure





MMW2321 D What do you think of the frequency of posts from FDIC? MMW2321A01 I think you should have more posts








MMW2321A02 I think the number of posts is fine as is








MMW2321A03 I think you should have less posts








MMW2321A04 No opinion





MMW2322 E Please tell us about other topics you would be interested in seeing posts on from FDIC.







MMW2323 F How many FDIC YouTube videos did you watch today? MMW2323A01 1








MMW2323A02 2








MMW2323A03 3-5








MMW2323A04 More than 5








MMW2323A05 Not sure





MMW2324 G What best describes how often you watch any YouTube videos? MMW2324A01 Daily








MMW2324A02 Weekly








MMW2324A03 A few times per month








MMW2324A04 Monthly or less often








MMW2324A05 This was my first time





MMW2325 H What do you think of the availability of new YouTube videos from FDIC? MMW2325A01 I think you should provide new videos more frequently








MMW2325A02 I think the frequency with which you update is fine








MMW2325A03 I think there are too many videos








MMW2325A04 No opinion





MMW2326 I What do you think of the frequency of FDIC tweets? MMW2326A01 I think you should tweet more often








MMW2326A02 I think the frequency of tweets is fine as is








MMW2326A03 I think you should tweet less often








MMW2326A04 No opinion





MMW2327
Which of these best describes you? MMW2327A01 Analyst/Researcher








MMW2327A02 Asset Buyer/Investor








MMW2327A03 Auditor








MMW2327A04 Banking Professional








MMW2327A05 Bank Regulator/Gov't Employee








MMW2327A06 Consultant








MMW2327A07 Consumer/Depositor








MMW2327A08 Finance/Investment Professional








MMW2327A09 Lawyer








MMW2327A10 Sales Professional








MMW2327A11 Student








MMW2327A12 Other





MMW2328
What is your age? MMW2328A01 17 and under








MMW2328A02 18-24








MMW2328A03 25-34








MMW2328A04 35-44








MMW2328A05 45-54








MMW2328A06 55-64








MMW2328A07 65 and over








MMW2328A08 I prefer not to respond





MMW2329
Why do you visit this FDIC social media platform?







MMW2330
How frequently have you visited the FDIC website in the last 6 months? MMW2330A01 Never








MMW2330A02 Once








MMW2330A03 2-5 times








MMW2330A04 6-15 times








MMW2330A05 16 or more times








MMW2330A06 Don't Know





MMW2331
Which of the following social media services have you actively participated with in the last 30 days (e.g. posted/shared comments, tweeted, etc.) MMW2331A01 Facebook








MMW2331A02 Twitter








MMW2331A03 YouTube








MMW2331A04 Flickr








MMW2331A05 Google+








MMW2331A06 LinkedIn








MMW2331A07 Internet Forums








MMW2331A08 Blogs








MMW2331A09 Other





MMW2332
Do you have any additional feedback about how FDIC's social media services could better meet your needs?







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