831 2014 831 SSA Extra Help

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

2014 831 SSA Extra Help.xlsx

2014 819 DHS USCIS - 2014 841 VA Medical Centers

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

English Welcome & ThankYou Text
Spanish Welcome & ThankYou text
v3 Model Qsts (EE)
v3 Model Qsts (EN)
v3 Model Qsts (SP)
EE v3 Custom Qsts
EN v3 Custom Qsts
SP v3 Custom Qsts
Element Rotations


Sheet 1: English Welcome & ThankYou Text

Model Instance Name:








SSA Extra Help v2







MID:







Date: 9/15/2011








Welcome and Thank You Text









































Examples





Current Welcome Text






















































Welcome Text





















Thank you for visiting the Social Security Administration (SSA). You have been randomly selected to take part in this survey that is being conducted by ForeSee Results on behalf of SSA. Please take a minute or two to give us your opinions about the Application for Help with Medicare Prescription Drug Plan Costs. The feedback you provide will help SSA enhance its site and serve you better in the future. All results are strictly confidential.


































































































































































































Thank You Text


Current Thank You Text













Thank you for your time in completing this survey about the Application for Help with Medicare Prescription Drug Plan Costs. Your input is very valuable will be taken into consideration.

































































































Invitation Text













Current Invitation Text






We'd like your feedback.













Thank you for visiting the SSA.gov site and using the online application for Help with Medicare Prescription Plan Drug Costs. You have been randomly selected to participate in a customer satisfaction survey to let us know how we can improve your website experience.










This survey is conducted by an independent company, ForeSee Results.























































































































Sheet 2: Spanish Welcome & ThankYou text

Model Instance Name:








SSA Extra Help v2







MID:







Date: 9/1/2011








Welcome and Thank You Text









































Examples





Current Welcome Text






















































Welcome Text





















Gracias por visitar la Administración del Seguro Social. Usted ha sido seleccionado para participar en esta encuesta conducida por ForeSee Results de parte del Seguro Social. Por favor tomese un minuto o dos para darnos sus opiniones sobre la Solicitud para el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare. Los comentarios que proporcione ayudará al Seguro Social a mejorar la página de Internet y servirle mejor en el futuro. Todos los resultados son estrictamente confidenciales.


































































































































































































Thank You Text


Current Thank You Text












Gracias por su tiempo para completar esta encuesta sobre la Solicitud para el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare. Su opinión es muy valiosa y la tomaremos en cuenta.










































































Invitation Text













Current Invitation Text






Nos gustaría recibir sus comentarios













Gracias por visitar el sitio de Internet segurosocial.gov y usar la solicitud para El Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare. Usted ha sido seleccionado para participar en una encuesta de satisfacción del cliente para hacernos saber cómo podemos mejorar su experiencia por Internet.










Esta encuesta la lleva a cabo una empresa independiente llamada, ForeSee Results.




























































































































Sheet 3: v3 Model Qsts (EE)

Model Instance Name:








SSA Extra Help v3 (English)








MID:
IVsQkEQIoMBUUs049xE45w4C





Partitioned (Y/N)?
N

Element rotation scheme has been added



FPI Included(Y/N)?








Date:
7/19/2013





SSA Extra Help v3 (English)
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 the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Overall What is your overall satisfaction with the online application for Help with Medicare Prescription Plan Drug Costs? (1=Very Dissatisfied, 10=Very Satisfied)
Recommend How likely are you to recommend the online application for Help with Medicare Prescription Plan Drug Costs to someone else?

Look and Feel - Balance Please rate the balance of graphics and text in the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Expectations How well does the online application for Help with Medicare Prescription Plan Drug Costs meet your expectations? (1=Falls Short, 10=Exceeds)

Use Other Applications (1=Very Unlikely, 10=Very Likely)

Look and Feel - Readability Please rate the readability of the pages in the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Ideal How does the online application for Help with Medicare Prescription Plan Drug Costs compare to your idea of an ideal online application? (1=Not Very Close, 10=Very Close)
Use Other Online Services How likely are you to use other Social Security online services?


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







Site Performance - Loading Please rate how quickly pages load in the online application for Help with Medicare Prescription Plan Drug Costs.







Site Performance - Consistency Please rate the consistency of speed from page to page in the online application for Help with Medicare Prescription Plan Drug Costs.







Site Performance - Errors Please rate the ability to load pages without getting error messages in the online application for Help with Medicare Prescription Plan Drug Costs.








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







Plain Language - Clear Please rate the clarity of the wording in the Help with Medicare Prescription Plan Drug Costs application.







Plain Language - Understandable Please rate how well you understand the wording in the Help with Medicare Prescription Plan Drug Costs application.







Plain Language - Concise Please rate the Help with Medicare Prescription Plan Drug Costs application on its use of short, clear sentences.

























































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 4: v3 Model Qsts (EN)

Model Instance Name:








SSA Extra Help v3 (English)








MID:
RQFJlkpspsRxQIxpY0s1ZQ4C





Partitioned (Y/N)?
N

Element rotation scheme has been added



FPI Included(Y/N)?








Date:
7/19/2013





SSA Extra Help v3 (English)
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 Recommend (1=Very Unlikely, 10=Very Likely)

Look and Feel - Appeal Please rate the visual appeal of the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Overall What is your overall satisfaction with the online application for Help with Medicare Prescription Plan Drug Costs? (1=Very Dissatisfied, 10=Very Satisfied)

How likely are you to recommend the online application for Help with Medicare Prescription Plan Drug Costs to someone else?

Look and Feel - Balance Please rate the balance of graphics and text in the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Expectations How well does the online application for Help with Medicare Prescription Plan Drug Costs meet your expectations? (1=Falls Short, 10=Exceeds)
Use Other Online Services Use Other Applications (1=Very Unlikely, 10=Very Likely)

Look and Feel - Readability Please rate the readability of the pages in the online application for Help with Medicare Prescription Plan Drug Costs.
Satisfaction - Ideal How does the online application for Help with Medicare Prescription Plan Drug Costs compare to your idea of an ideal online application? (1=Not Very Close, 10=Very Close)

How likely are you to use other Social Security online services?


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







Site Performance - Loading Please rate how quickly pages load in the online application for Help with Medicare Prescription Plan Drug Costs.







Site Performance - Consistency Please rate the consistency of speed from page to page in the online application for Help with Medicare Prescription Plan Drug Costs.







Site Performance - Errors Please rate the ability to load pages without getting error messages in the online application for Help with Medicare Prescription Plan Drug Costs.








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







Plain Language - Clear Please rate the clarity of the wording in the Help with Medicare Prescription Plan Drug Costs application.







Plain Language - Understandable Please rate how well you understand the wording in the Help with Medicare Prescription Plan Drug Costs application.







Plain Language - Concise Please rate the Help with Medicare Prescription Plan Drug Costs application on its use of short, clear sentences.

























































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 5: v3 Model Qsts (SP)

Model Instance Name:








SSA Extra Help v3 (Spanish)








MID:
wcscht14I5kxFEcp45Bg0Q4C





Partitioned (Y/N)?
N

Element rotation scheme has been added



FPI Included(Y/N)?








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:
7/19/2013





SSA Extra Help v3 (English)
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?


Apariencia y función (1=Mala, 10=Excelente, No sé)

Satisfacción
Recommend Recomendar (1=Muy improbablemente, 10=Muy probablemente)

Look and Feel - Appeal Por favor califique la apariencia de la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.
Satisfaction - Overall ¿Cómo calificaría su satisfacción en general de la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare? (1=Totalmente insatisfecho, 10=Totalmente satisfecho)

¿Cuáles son las posibilidades de que le recomiende a otra persona la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare ?

Look and Feel - Balance Por favor califique el equilibrio entre gráficas y texto de la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.
Satisfaction - Expectations ¿Con cuánta exactitud la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare satisfizo sus expectativas? (1=No llenó mis expectativas, 10=Totalmente satisfecho)
Use Other Online Services Usar por Internet otros programas de computadora del Seguro Social (1=Muy improbablemente, 10=Muy probablemente)

Look and Feel - Readability Por favor califique la fluidez del texto de la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.
Satisfaction - Ideal ¿Cómo se compara la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare con lo que se imaginaría que sería su programa de computadora ideal? (1=No se asemeja, 10=Se asemeja)

¿Cuáles son las posibilidades de que use otros programas de computadora en este sitio de Internet del Seguro Social?


Rendimiento del sitio de Internet (1=Mala, 10=Excelente, No sé)







Site Performance - Loading Por favor califique la rapidez con que suben las páginas de la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.







Site Performance - Consistency Por favor califique la consistencia de la rapidez para moverse de una página a la otra en la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.







Site Performance - Errors Por favor califique la capacidad para subir las páginas sin que reciba un error en la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.








Simpleza del vocabulario (1=Malo, 10=Excelente, No sé)







Plain Language - Clear Por favor califique la claridad de las palabras usadas en la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.







Plain Language - Understandable Por favor califique su comprensión de las palabras usadas en la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare.







Plain Language - Concise Por favor califique la solicitud por Internet del Beneficio Adicional con los gastos de los planes de las recetas médicas de Medicare basado en el uso de oraciones cortas y claras.

























































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 6: EE v3 Custom Qsts

Model Instance Name:


red & strike-through: DELETE










SSA Extra Help v3 (English)


underlined & italicized: RE-ORDER










MID: IVsQkEQIoMBUUs049xE45w4C


pink: ADDITION










Date: 9/15/2011
blue + -->: REWORDING














violet (bold): SKIP-LOGIC










SSA Extra Help v2 (English Equiv) CUSTOM QUESTION LIST






QID Skip Logic Label Question Text
Answer Choices
(limited to 50 characters)
Skip to: Type Single or Multi Required
Y/N
Special Instructions CQ Label




BJL2281
Did you complete your application today? BJL2281A01 Not yet, but I plan to finish today B-I Radio Single Y Skip Logic App Status



Types



BJL2281A02 Yes, I completed my new application today B-I








Open-ended



BJL2281A03 Yes, I resumed and completed my earlier application B-I








Text Field – limited to 100 characters



BJL2281A04 No, I did not complete my new application A, L








Text Area – no character limit



BJL2281A05 No, I did not complete my partial application A, L








Dropdown (Select-one)



BJL2281A06 I'm not applying for Help with Medicare Prescription Plan Drug Costs today









Radio Button Two Up Vertical
BJL2282 B How did you first hear about the on-line Application for Help with the Medicare Prescription Plan Drug Costs? BJL2282A01 A Social Security Representative told me about it
Radio Single Y Skip Logic Hear About App



Radio Button Three Up Vertical


BJL2282A02 Saw it on the Social Security Website








Radio Button Scale Has Don’t Know


BJL2282A03 Received a letter about it in the mail from SSA









Radio Button Scale No Don’t Know



BJL2282A04 Read about it in a Social Security publication









Checkbox One Up Vertical



BJL2282A05 Read about it in a Medicare publication









Checkbox Two Up Vertical



BJL2282A06 Saw it on the Medicare website









Checkbox Three Up Vertical



BJL2282A07 Saw it in a newspaper, magazine, television or other media source









Select-multiple Show Two



BJL2282A08 Heard about it at my Senior/Community Center









Select-multiple Show Three



BJL2282A09 My doctor, or another professional, told me about it









Select-multiple Show Four



BJL2282A10 Got it from a Search Engine













BJL2282A11 Linked from another website













BJL2282A12 Word-of-mouth













BJL2282A13 Other










BJL2283 D For whom are you completing the on-line Help with Medicare Prescription Drug Plan Costs application? BJL2283A01 Myself
Dropdown (select one) Single Y Skip Logic App For







BJL2283A02 Myself and my spouse













BJL2283A03 My Spouse













BJL2283A04 My parent













BJL2283A05 My client













BJL2283A06 My relative













BJL2283A07 My friend










BJL2284 A If you have decided to stop working on your application for now, do you plan to return to complete it later? BJL2284A01 Yes
Dropdown (select one) Single Y Skip Logic Plan to return?







BJL2284A02 No










BJL2285 L If you stopped working on your application, please tell us why: (Select all that apply) BJL2285A01 I'm not applying for Help with Medicare Prescription Plan Drug Costs today
checkbox one up vertical Multi Y Skip Logic Why did you stop?







BJL2285A02 Needed to find documents/other information for my application













BJL2285A03 Too complicated/Takes too long/Too many questions to answer without help













BJL2285A04 My medical/physical condition prevents me from working on the computer for long periods













BJL2285A05 I don't have the necessary computer skills to complete the application













BJL2285A06 Received an error message/Kicked off













BJL2285A07 Tried to use my Reentry Number to resume my application, but it wouldn't work













BJL2285A08 Didn't have the Reentry Number needed to resume application













BJL2285A09 Application wouldn't accept empty fields













BJL2285A10 I had problem(s) entering information in some of the pages













BJL2285A11 I made a mistake on one of the screens, but couldn't correct it













BJL2285A12 I was working on my application when the site shut down for the night













BJL2285A13 Other Reason










BJL2286 G Please rate your level of experience using the Internet. BJL2286A01 Very experienced
Radio Single Y Skip Logic Internet Experience







BJL2286A02 Somewhat experienced













BJL2286A03 Almost no experience













BJL2286A04 Filing for Extra Help for Prescription Costs online is the first I’ve used the Internet.










BJL2287 H If you answered you heard about the on-line Application for Help with Medicare Prescription Plan Drug Costs from another website or a search engine, please tell us which one:


text area - no character limit
N Skip Logic OE_heard about




BJL2288 I Do you have any problems with, or specific suggestions to improve, this on-line Application for Help with Medicare Prescription Plan Drug Costs? (Please do not include any personal information in your answer.)


text area - no character limit
N Skip Logic OE_Problems





Sheet 7: EN v3 Custom Qsts

Model Instance Name:

red & strike-through: DELETE










SSA Extra Help v3 (English)

underlined & italicized: RE-ORDER










MID: RQFJlkpspsRxQIxpY0s1ZQ4C

pink: ADDITION










Date: 9/15/2011 blue + -->: REWORDING













violet (bold): SKIP-LOGIC










SSA Extra Help v2 (English) CUSTOM QUESTION LIST






QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to: Type Single or Multi Required
Y/N
Special Instructions CQ Label




ENBJL2281
Did you complete your application today? Not yet, but I plan to finish today B-I radio button one-up vertical Single Y Skip Logic App Status



Types



Yes, I completed my new application today B-I








Open-ended



Yes, I resumed and completed my earlier application B-I








Text Field – limited to 100 characters



No, I did not complete my new application A, L








Text Area – no character limit



No, I did not complete my partial application A, L








Dropdown (Select-one)



I'm not applying for Help with Medicare Prescription Plan Drug Costs today









Radio Button Two Up Vertical
ENBJL2282 B How did you first hear about the on-line Application for Help with the Medicare Prescription Plan Drug Costs? A Social Security Representative told me about it
radio button one-up vertical Single Y Skip Logic Hear About App



Radio Button Three Up Vertical


Saw it on the Social Security Website








Radio Button Scale Has Don’t Know


Received a letter about it in the mail from SSA









Radio Button Scale No Don’t Know



Read about it in a Social Security publication









Checkbox One Up Vertical



Read about it in a Medicare publication









Checkbox Two Up Vertical



Saw it on the Medicare website









Checkbox Three Up Vertical



Saw it in a newspaper, magazine, television or other media source









Select-multiple Show Two



Heard about it at my Senior/Community Center









Select-multiple Show Three



My doctor, or another professional, told me about it









Select-multiple Show Four



Got it from a Search Engine













Linked from another website













Word-of-mouth













Other










ENBJL2283 D For whom are you completing the on-line Help with Medicare Prescription Drug Plan Costs application? Myself
Dropdown (select one) Single Y Skip Logic App For







Myself and my spouse













My Spouse













My parent













My client













My relative













My friend










ENBJL2284 A If you have decided to stop working on your application for now, do you plan to return to complete it later? Yes
Dropdown (select one) Single Y Skip Logic Plan to return?







No










ENBJL2285 L If you stopped working on your application, please tell us why: (Select all that apply) I'm not applying for Help with Medicare Prescription Plan Drug Costs today
checkbox one up vertical Multi Y Skip Logic Why did you stop?







Needed to find documents/other information for my application













Too complicated/Takes too long/Too many questions to answer without help













My medical/physical condition prevents me from working on the computer for long periods













I don't have the necessary computer skills to complete the application













Received an error message/Kicked off













Tried to use my Reentry Number to resume my application, but it wouldn't work













Didn't have the Reentry Number needed to resume application













Application wouldn't accept empty fields













I had problem(s) entering information in some of the pages













I made a mistake on one of the screens, but couldn't correct it













I was working on my application when the site shut down for the night













Other Reason










ENBJL2286 G Please rate your level of experience using the Internet. Very experienced
Radio button one-up vertical Single Y Skip Logic Internet Experience







Somewhat experienced













Almost no experience













Filing for Extra Help for Prescription Costs online is the first I’ve used the Internet.










ENBJL2287 H If you answered you heard about the on-line Application for Help with Medicare Prescription Plan Drug Costs from another website or a search engine, please tell us which one:

text area - no character limit
N Skip Logic OE_heard about




ENBJL2288 I Do you have any problems with, or specific suggestions to improve, this on-line Application for Help with Medicare Prescription Plan Drug Costs? (Please do not include any personal information in your answer.)

text area - no character limit
N Skip Logic OE_Problems





Sheet 8: SP v3 Custom Qsts

Model Instance Name:

red & strike-through: DELETE





SSA Extra Help v3 (Spanish)

underlined & italicized: RE-ORDER





MID: wcscht14I5kxFEcp45Bg0Q4C

pink: ADDITION





Date: 9/15/2011 blue + -->: REWORDING








violet (bold): SKIP-LOGIC





SSA Extra Help v2 (Spanish) CUSTOM QUESTION LIST

QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to: Type Single or Multi Required
Y/N
Special Instructions CQ Label
SPBJL2281
¿Completó su solicitud hoy? Todavía no, pero tengo la intención de terminar hoy. B-I Radio Single Y Skip Logic App Status



Sí, he terminado mi nueva solicitud hoy. B-I







Sí, he resumido y completado mi solicitud anterior. B-I







No, no he completado mi nueva solicitud. A, L







No, no he completado mi solicitud parcial. A, L







No estoy solicitando para recibir el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare hoy.





SPBJL2282 B ¿Cómo se enteró de la solicitud por Internet para recibir el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare? Un representante del Seguro Social me dijo sobre este
Radio Single Y Skip Logic Hear About App


Lo ví en el sitio de Internet del Seguro Social






Recibí una carta por correo del Seguro Social








Leí sobre esta en una publicación del Seguro Social








Leí sobre esta en una publicación de Medicare








Lo ví en el sitio de Internet de Medicare








Lo ví en un periódico, revista, televisión u otros medios de comunicación








Oí hablar de esta en un centro de comunidad para ancianos.








Mi médico u otro profesional me dijo sobre este








Lo obtuve en un lugar de búsqueda por Internet.








Por un enlace en otro sitio de Internet.








Lo escuché por otro personas








Otro modo





SPBJL2283 D ¿Para quién esta completando la solicitud por Internet para el Beneficio Adicional con los gastos del plan de medicamentos recetados? Para mi mismo
Dropdown (select one) Single Y Skip Logic App For



Para mi mismo y mi cónyuge








Para mi cónyuge








Para mi padre o madre








Para mi cliente








Para mi pariente








Para mi amigo





SPBJL2284 A Si ha decidido dejar de trabajar en la solicitud por ahora, ¿espera regresar y completarla mas tarde?
Dropdown (select one) Single Y Skip Logic Plan to return?



No





SPBJL2285 L Si dejo de trabajar en su solicitud, por favor háganos por qué: (Seleccione todos los que aplican) No estoy solicitando el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare hoy.
checkbox one up vertical Multi Y Skip Logic Why did you stop?



Necesitaba encontrar documentos/otra información para mi solicitud








Muy complicada/Toma mucho tiempo/Demasiadas preguntas que contestar sin ayuda








Mi padecimiento médico/físico me impide trabajar en la computadora por períodos largos








No tengo las destrezas de computadora necesarias para completar la solicitud








Recibí en mensaje de error/El sistema me expulsó








Traté de usar my Número de Reingreso para regresar a mi solicitud, pero no funcionó








No tenia el Número de Reingreso para regresar a la solicitud








La solicitud no aceptó campos en blanco








Tuve problemas ingresando información en alguna de las páginas








Cometí un error en una de las pantallas y no pude corregirlo








Estaba trabajando en mi solitud cuando apagaron el sitio de Internet por la noche.








Otra razón





SPBJL2286 G Por favor evalue su nivel de experiencia usando la Internet. Muy experimentado
Radio Single Y Skip Logic Internet Experience



Algo de experiencia








Inexperto








Solicitando el Beneficio Adicional con los gastos de medicamentos recetados es la primara vez que uso el Internet.





SPBJL2287 H Si contestó que escuchó acerca de la solicitud para el Beneficio Adicional con los gastos del plan de medicamentos recetados en otro sitio de Internet o lugar de búsqueda, por favor háganos saber el nombre del sitio:

text area - no character limit
N Skip Logic OE_heard about
SPBJL2288 I ¿Tiene algun problema con, o sugerencias especificas para mejorar esta solicitud de Internet para el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare? (Por favor no incluya ninguna informacion personal en sus respuestas.)

text area - no character limit
N Skip Logic OE_Problems

Sheet 9: Element Rotations

Base Element Order Version 2 Version 3 Version 4
Look and Feel Plain Language Site Performance Look and Feel
Site Performance Site Performance Look and Feel Plain Language
Plain Language Look and Feel Plain Language Site Performance




1 7 4 1
2 8 5 2
3 9 6 3
4 4 1 7
5 5 2 8
6 6 3 9
7 1 7 4
8 2 8 5
9 3 9 6
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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