578 MyPBA v2 Qnaire 9-21-12

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

2012 578 MyPBA v2 Qnaire 9-21-12.xlsx

562 AHRQ Enterprise_9-10-12_UPDATED - 589 CDC SM Posting Survey

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Current Model Qsts
Current Custom Qsts
Element Rotations


Sheet 1: Current Model Qsts

Model Instance Name:







MyPBA.gov v2







MID:
Existing Measure - Please fill in; New Measure - DOT will fill in




Partitioned: No



Element rotation scheme has been added


NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.



Date:
9/21/2012




MyPBA.gov v2
Model questions utilize the ACSI methodology to determine scores and impacts


ELEMENTS (drivers of satisfaction)

CUSTOMER SATISFACTION

FUTURE BEHAVIORS

MQ Label

MQ Label

MQ Label


Functionality (1=Poor, 10=Excellent, Don't Know)

Satisfaction

Future Transactions (1=Very Unlikely, 10=Very Likely)
1 Functionality - Usefulness Please rate the usefulness of the features provided on this site. 16 Satisfaction - Overall What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
19 Conduct Future Transactions How likely are you to conduct future transactions on this site?
2 Functionality - Convenient Please rate the convenient placement of the features on this site. 17 Satisfaction - Expectations How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)

Prefer Web Channel (1=Very Unlikely, 10=Very Likely)
3 Functionality - Variety Please rate the variety of features on this site. 18 Satisfaction - Ideal How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) 20 Use Web Channel Over Others How likely are you to use MyPBA rather than calling PBGC.


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





4 Look and Feel - Appeal Please rate the visual appeal of this site.





5 Look and Feel - Balance Please rate the balance of graphics and text on this site.





6 Look and Feel - Readability Please rate the readability of the pages on this site.







Navigation (1=Poor, 10=Excellent, Don't Know)





7 Navigation - Organized Please rate how well the site is organized.





8 Navigation - Options Please rate the options available for navigating this site (for example, links).


9 Navigation - Layout Please rate how well the site layout helps you find what you are looking for.



Plain Language (1=Poor, 10=Excellent, Don't Know)

10 Plain Language - Clear Please rate the clarity of the wording on this site.

11 Plain Language - Understandable Please rate how well you understand the wording on this site.





12 Plain Language - Concise Please rate this site on its use of short, clear sentences.







Tasks/ Transactions (1=Poor, 10=Excellent, Don't Know)





13 Tasks/Transactions - Simplicity Please rate the simplicity of the process for completing task(s) on this site.





14 Tasks/Transactions - Instructions Please rate the clarity of instructions for completing task(s) on this site.





15 Tasks/Transactions - Verification Please rate the verification of task completion on this site.





































































































































Sheet 2: Current Custom Qsts

Model Instance Name:


red & strike-through: DELETE






MyPBA.gov v2


underlined & italicized: RE-ORDER






MID: Existing Measure - Please fill in; New Measure - DOT will fill in


pink: ADDITION






Date: 9/20/2012
blue + -->: REWORDING


















MyPBA.gov v2
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label


How frequently do you access your My PBA account?
Daily
Drop down, select one S Y
Visit Frequency




Weekly










Monthly










Twice per year










This is my first time








Did you set up a MyPBA account in the last three months?
Yes A,B Radio button, one-up vertical S Y Skip Logic Group* Create Account




No







A Please rate the number of steps required to set up an account on MyPBA.
1=Poor
Radio button, scale, no don't know S Y Skip Logic Group* Rate # steps




2










3










4










5










6










7










8










9










10=Excellent







B Please rate the verification of account set-up on MyPBA.
1=Poor
Radio button, scale, no don't know S Y Skip Logic Group* Rate_Verification




2










3










4










5










6










7










8










9










10=Excellent








Please rate the ease of choosing/modifying your password on MyPBA.
1=Poor
Radio button, scale, has don't know S Y Skip Logic Group* Rate_modify PW




2










3










4










5










6










7










8










9










10=Excellent










Didn't update password








Which best describes you?
Retiree
Radio button, one-up vertical S Y Skip Logic Group* Role




Eligible for benefit payments at a future date










Surviving spouse










Power of attorney










Family member










Other (please specify) A






A Other - best describes you


Text area, no char limit

Skip Logic Group* OE_Role


What was your purpose in visiting MyPBA today?
Create an account
Radio button, one-up vertical S Y Skip Logic Group* Purpose




Update account information










Verify direct deposit of payment










Enroll in direct deposit










Review or check account










Request benefit estimates










View an application for benefits










Other (please specify) A






A Other - purpose in visiting MyPBA today


Text area, no char limit
N Skip Logic Group* OE_Purpose


Did you accomplish your goal?
Yes
Radio button, one-up vertical S Y
Did You Accomplish




No A









In part A






A What problem(s) did you experience? (Select all that apply.)
System outage or technical difficulty B Checkbox, one-up vertical S Y Skip Logic Group* Problems Experienced




Forgotten ID or password B









Could not get online estimate B









Did not understand instructions B









Other (please specify) A1









I did not experience a problem



Mutually Exclusive


A1 Please specify the problem(s) you experienced today.


Text area, no char limit
N Skip Logic Group* OE_desc problems

B Did you use the Help link to resolve your problem?
Yes C Radio button, one-up vertical S Y Skip Logic Group* Use Help Link




No







C Please rate the usefulness of the content provided in the Help link.
1=Poor
Radio button, scale, no don't know S Y Skip Logic Group* Rate_Usefulness of Help




2










3










4










5










6










7










8










9










10=Excellent







C Please rate the clarity of the content provided in the help link.
1=Poor
Radio button, scale, no don't know S Y Skip Logic Group* Rate_Clarity of Help




2










3










4










5










6










7










8










9










10=Excellent








How can MyPBA better meet your needs?


Text area, no char limit
N
Better Meet Needs


Would you like PBGC to contact you regarding your response?
Yes A Radio button, one-up vertical S Y Skip Logic Group* Contact




No







A Please provide the following information, and a PBGC representative will contact you.

Name: (First/Last Name)



Text field, <100 char S N Skip Logic Group* Name

A Email: (e.g. [email protected])


Text field, <100 char S N Skip Logic Group* Email

A Telephone: (e.g. 555-555-5555)


Text field, <100 char S N Skip Logic Group* Telephone

A Best weekday to be reached:
Monday
Drop down, select one
N Skip Logic Group* Best Day to Reach




Tuesday

S







Wednesday










Thursday










Friday







A Best time to be reached:
9 - 10 AM (EST)
Drop down, select one S N Skip Logic Group* Best hour to Reach




10 - 11 AM (EST)










11 - 12 PM (EST)










12 - 1 PM (EST)










1 - 2 PM (EST)










2 - 3 PM (EST)










3 - 4 PM (EST)










4 - 5 PM (EST)










5 - 6 PM (EST)







A Type of assistance requested from PBGC:


Text area, no char limit S N Skip Logic Group* Assistance requested













































































































Sheet 3: Element Rotations

Base Element Order Version 2 Version 3 Version 4 Version 5
Functionality Tasks and Transactions Plain Language Look and Feel Navigation
Look and Feel Plain Language Functionality Tasks and Transactions Plain Language
Navigation Navigation Tasks and Transactions Navigation Functionality
Plain Language Look and Feel Look and Feel Functionality Tasks and Transactions
Tasks and Transactions Functionality Navigation Plain Language Look and Feel
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