677 2013 677 My Social Security v2 CQ changes

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

2013 677 My Social Security v2 CQ changes July 2013.xlsx

2013 659 FDA Mobile - 2013 686 VA Medical Centers

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Guidelines
Welcome and Thank You Text
Proposed v2 Model Qsts
V2 Current CQs
V1 Current CQs


Sheet 1: Guidelines

SSA My Social Security v2










































Partitioned Yes
Questionnaire Management Guidelines










































Goals:




















One consolidated document to track all model and CQ changes throughout the life of the project



















Questionnaire always matches the live survey



















Easy and error-free way to submit CQ changes



















All changes tracked and reflected in one document (DOT will help)









































Questionnaire Resources:










































1
Questionnaire Design and Approval Process















2
Question Grouping Rules
















3
OPS vs. Skip Logic Decision for "Other, Please Specify"












4
Model and Custom Question Checks_ SRA














5
Model and Custom Question Checks_ Team LeadManager












6
Model and Custom Question Checks_ DOT














7
Foreign Language Survey Instructions



































Sheet 2: Welcome and Thank You Text

Model Instance Name:










SSA My Social Security v2









MID: Z5w0N58sJ5AkRkYUg4pVFg==








Partitioned Yes 2/8/2012










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 visiting our site. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve.

Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.













































































































































































































































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 website.
















































































































































































































































































































































us


Sheet 3: Proposed v2 Model Qsts

Model Instance Name:








SSA My Social Security v2








MID: R9JQtMNl09w1VJAZFxsVYQ4C






Partitioned Yes








FPI Included(Y/N)?








Date:
6/12/2013





SSA My Social Security v2
Model questions utilize the ACSI methodology to determine scores and impacts


ELEMENTS (drivers of satisfaction)

CUSTOMER SATISFACTION

FUTURE BEHAVIORS FPI

MQ Label

MQ Label

MQ Label
Y?


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

Satisfaction

Recommend (1=Very Unlikely, 10=Very Likely)

Look and Feel - Appeal Please rate the visual appeal of this site.
Satisfaction - Overall What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)

Recommend How likely are you to recommend this site to someone else?

Look and Feel - Balance Please rate the balance of graphics and text on this site.
Satisfaction - Expectations How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)


Return (1=Very Unlikely, 10=Very Likely)

Look and Feel - Readability Please rate the readability of the pages on this site.
Satisfaction - Ideal How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

Return How likely are you to return to this site?


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




Use Web Channel Over Others (1=Very Unlikely, 10=Very Likely)

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



Use Web Channel Over Others How likely are you to use this site rather than seek information from other channels (i.e. local field office, call center)?

Navigation - Options Please rate the options available for navigating this site.







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





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


Site Performance - Loading Please rate how quickly pages load on this site.


Site Performance - Consistency Please rate the consistency of speed from page to page on this site.


Site Performance - Errors Please rate the ability to load pages without getting error messages on this site.





My Social Security Information (1=Poor, 10=Excellent, Don't Know)







My Social Security Information - Thoroughness Please rate the thoroughness of information you viewed on this site today.







My Social Security Information - Quality Please rate the quaility of information you viewed today.







My Social Security Information - Provided Answers Please rate how well the information viewed today provided answers to your questions.








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







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







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







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









































































































































Sheet 4: V2 Current CQs

Model Instance Name:

red & strike-through: DELETE





SSA My Social Security v2

underlined & italicized: RE-ORDER





MID: R9JQtMNl09w1VJAZFxsVYQ4C
pink: ADDITION





Partitioned Yes 2/8/2012 blue + -->: REWORDING















SSA My Social Security 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
BJL1497
Did you register for a username and password today? Yes A,Z,B,C,D,DD,E Radio button, one-up vertical
Y Skip Logic Group Password Registration



No





BJL1498 A Please tell us how long it took you to complete your registration: Less than 10 minutes
Radio button, one-up vertical Single N Skip Logic Group Registration SAT



11 minutes - 15 minutes








16 minutes - 30 minutes








31 minutes - 1 hour








Greater than 1 hour






Z Prior to successfully creating a username and password today, have you previously visited the site to create a username and password? Yes
Radio button, one up vertical Single Y skip logic Previous attempts to create username Password



No








I don't recall





BJL1499 B Did you register for Extra Security today? Yes
Radio button, one-up vertical
N Skip Logic Group ExtraSecurityReg



No








I tried but was unsuccessful








I don't know





BJL1500 C Did you understand all the instructions for registering for a username and password today? Yes
Radio button, one-up vertical Single N Skip Logic Group Instructions



Partially CC







No CC




BJL1501 CC Please explain what you did not understand about the instructions.

Text area, no char limit
N Skip Logic Group OE_Instructions
BJL1502 D Did you see any information describing the website's security policies or features? Yes
Radio button, one-up vertical Single N Skip Logic Group Security



No





BJL1503 DD Do you have any concerns about the security of transactions on this website? Yes DDD Radio button, one-up vertical Single N Skip Logic Group Security Concerns



No





BJL1504 DDD Please describe your concerns with the security of this site.

Text area, no char limit
N
OE_Security Concerns
BJL1505 E What would you like us to improve, if anything, about this site's registration process?

Text area, no char limit
N Skip Logic Group OE_Reg Improvement


Including today, how often have you accessed your My Social Security account? This is my first time
radial button one up vertical Single Y
Access Frequency



2-4 times








5-8 times








9 or more times





BJL1506
Are you currently receiving cash benefits? Yes, I am receiving Supplemental Security Income (SSI) A check box vertical Single Y Skip Logic Group Cash Benefits



Yes, I am receiving Social Security Benefits (retirement, Disability, or Survivors) B







Yes, I am receiving both SSI and Social Security Benefits (Retirement, Disability, or Survivors) A







Recently applied for Social Security Benefits (Retirement, Disability, or Survivors) or SSI C







No (not receiving any benefit or receiving Medicare Only) C







I don't know or prefer not to answer C






What was your primary reason for visiting today? (Check all that apply) To print or view my Social Security Statement
radio button, one up vertical Multi y skip logic Primary Reason



To check my earnings record








To view my Benefits and Payment Details








To get a Benefit Verification Letter A







Add Extra Security to my online account








To update my address








To enroll or update my direct deposit








To find a form (W-2, etc..)








Just curious - wanted to see what information was available with an online account








Other reason for visiting today: Z





A Which Agency or program requested you obtain a Benefit Verification Letter? (Check all that apply) USDA - SNAP
radio button, one up vertical multi y skip logic Requested iBeve



IRS








HUD








U.S. Department of Veterans Affairs








Applying for a Retirement Visa in another country








Medicare








Medicaid




































Z Please tell us what your primary reason was for visiting today:

text area, no char limit
n Skip Logic Group OE_Primary Reason
BJL1507 A What was your primary reason for visiting today? (Check all that apply) To print my Social Security Statement
Checkbox, one-up vertical Single Y Skip Logic Group SSI Only Primary Reason



To check my earnings record








To view my Benefits and Payment Details








To get a Benefit Verification Letter








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








Other reason for visiting today: AA




BJL1508 AA Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_SSI Only Other Primary Reason
BJL1509 B What was your primary reason for visiting today? (Check all that apply) To print my Social Security Statement
Checkbox, one-up vertical Single Y Skip Logic Group Cash Benefit Primary Reason



To check my earnings record








To view my Benefits and Payment Details








To get a Benefit Verification Letter








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








To update my address








To enroll or update my direct deposit








Other reason for visiting today: BB




BJL1510 BB Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_Cash Benefit primary reason
BJL1511 C What was your primary reason for visiting today? (Check all apply) To print my Social Security Statement
Checkbox, one-up vertical Single Y Skip Logic Group No cash Benefit



To check my earnings record








To view my estimated benefits








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








Other reason for visiting today: CC




BJL1512 CC Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_No cash Benefit Primary Reason
BJL1513
Now that you've looked at your online statement, how often do you think you'll return to review it? Less frequently than once a year
Dropdown (Select-one) Single Y
View Statement



At least once a year








Every 6 months








Once a quarter








Once a month








More frequently than once a month








Other





BJL1514
Were you able to accomplish what you wanted to on the site today? Yes
Radio button, one-up vertical Single Y Skip Logic Group Task Accomplishment



No X,Y





X Please explain why you were unable to accomplish your task today.

text area, no char limit
N
OE_unable to Accomplish
BJL1515 Y Since you were not able to accomplish what you wanted to do today, what do you plan to do next? (Please select all that apply) Return and try again
Checkbox Multi Y Skip Logic Group Do Next



Visit a local Social Security office








Call a local Social Security office








Call Social Security's 800 number








Submit an e-mail to Social Security








Write a letter to Social Security








Take no action








Other, please specify YY




BJL1516 YY Please tell us what other action you plan to take next.

Text area, no char limit
N
OE_Do Next
BJL1517
Was there any information on the site that was unclear to you? No, all the information was clear
Checkbox Multi N
Clarity of Info



The language used








How to print a statement








Instructions for registering for a username and password








Instructions for resetting a password and/or recalling a username








Other





BJL1518
What did you like most about your experience today?

Text area, no char limit
N
OE_Like
BJL1519
What did you like least about your experience today?

Text area, no char limit
N
OE_Dislike
BJL1520
Please select the category that includes your age. 18-24
Drop down, select one Single N
Age



25-34








35-44








45-54








55-59








60-64








65-74








75 or older








Prefer not to answer







Sheet 5: V1 Current CQs

Model Instance Name:

red & strike-through: DELETE





SSA My Social Security

underlined & italicized: RE-ORDER





MID: Z5w0N58sJ5AkRkYUg4pVFg==

pink: ADDITION





Partitioned Yes 2/8/2012 blue + -->: REWORDING















SSA My Social Security 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
SAC7234
Did you register for a username and password today? Yes A,B,C,D,DD,E

Y Skip Logic Group Password Registration



No





SAC7235 A Please tell us how long it took you to complete your registration: Less than 10 minutes
Radio button, one-up vertical Single N Skip Logic Group Registration SAT



11 minutes - 15 minutes








16 minutes - 30 minutes








31 minutes - 1 hour








Greater than 1 hour





SAC7236 B Did you register for Extra Security today? Yes


N Skip Logic Group ExtraSecurityReg



No








I don't know





SAC7237 C Did you understand all the instructions for registering for a username and password today? Yes

Single N Skip Logic Group Instructions



Partially CC







No CC




SAC7238 CC Please explain what you did not understand about the instructions.

Text area, no char limit
N Skip Logic Group OE_Instructions
SAC7239 D Did you see any information describing the website's security policies or features? Yes
Radio button, one-up vertical Single N Skip Logic Group Security



No





SAC7240 DD Do you have any concerns about the security of transactions on this website? Yes DDD
Single N Skip Logic Group Security Concerns



No





SAC7241 DDD Please describe your concerns with the security of this site.

Text area, no char limit
N
OE_Security Concerns
SAC7242 E What would you like us to improve, if anything, about this site's registration process?

Text area, no char limit
N Skip Logic Group OE_Reg Improvement
ACQWro0020553
Are you currently receiving cash benefits? Yes, I am receiving Supplemental Security Income (SSI) A Radio button, one-up vertical Single Y Skip Logic Group Cash Benefits



Yes, I am receiving Social Security Benefits (retirement, Disability, or Survivors) B







Yes, I am receiving both SSI and Social Security Benefits (Retirement, Disability, or Survivors) A







Recently applied for Social Security Benefits (Retirement, Disability, or Survivors) or SSI C







No (not receiving any benefit or receiving Medicare Only) C







I don't know or prefer not to answer C




ACQWro0020554 A What was your primary reason for visiting today? (Check all that apply) To print my Social Security Statement
Radio button, one-up vertical Single Y Skip Logic Group SSI Only Primary Reason



To check my earnings record








To view my Benefits and Payment Details








To get a Benefit Verification Letter








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








Other reason for visiting today: AA




ACQWro0020555 AA Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_SSI Only Other Primary Reason
ACQWro0020556 B What was your primary reason for visiting today? (Check all that apply) To print my Social Security Statement
Radio button, one-up vertical Single Y Skip Logic Group Cash Benefit Primary Reason



To check my earnings record








To view my Benefits and Payment Details








To get a Benefit Verification Letter








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








To update my address








To enroll or update my direct deposit








Other reason for visiting today: BB




ACQWro0020576 BB Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_Cash Benefit primary reason
ACQWro0020578 C What was your primary reason for visiting today? (Check all apply) To print my Social Security Statement
Radio button, one-up vertical Single Y Skip Logic Group No cash Benefit



To check my earnings record








To view my estimated benefits








Add Extra Security to my online account








Just curious - wanted to see what information was available with an online account








Other reason for visiting today: CC




ACQWro0020579 CC Please tell us what your primary reason was for visiting today:

Text area, no char limit
N Skip Logic Group OE_No cash Benefit Primary Reason
ACQhar0016936
Now that you've looked at your online statement, how often do you think you'll return to review it? Less frequently than once a year
Dropdown (Select-one) Single Y
View Statement



At least once a year








Every 6 months








Once a quarter








Once a month








More frequently than once a month








Other





SAC7245
Were you able to accomplish what you wanted to on the site today? Yes
Radio button, one-up vertical Single Y Skip Logic Group Task Accomplishment



No Y




SAC7246 Y Since you were not able to accomplish what you wanted to do today, what do you plan to do next? (Please select all that apply) Return and try again
Checkbox Multi Y Skip Logic Group Do Next



Visit a local Social Security office








Call a local Social Security office








Call Social Security's 800 number








Submit an e-mail to Social Security








Write a letter to Social Security








Take no action








Other, please specify YY




SAC7247 YY Please tell us what other action you plan to take next.

Text area, no char limit
N
OE_Do Next
SAC7248
Was there any information on the site that was unclear to you? No, all the information was clear
Checkbox Multi N Skip Logic Group Clarity of Info



The language used








How to print a statement








Instructions for registering for a username and password








Instructions for resetting a password and/or recalling a username








Other





SAC7250
What did you like most about your experience today?

Text area, no char limit
N
OE_Like
SAC7251
What did you like least about your experience today?

Text area, no char limit
N
OE_Dislike
SAC7253
Please select the category that includes your age. 18-24
Drop down, select one Single N
Age



25-34








35-44








45-54








55-59








60-64








65-74








75 or older








Prefer not to answer





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